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Silent Partner TV Setup Questionnaire

Please fill out this form with all relevant information to assist us with the Silent Partner TV setup.

If you have any questions regarding the information above, you can send an email to [email protected] . You can also call our support line at (888) 840-0739.

Doctor Name(s)*
Please include ALL doctors on this account.
Website URL
example: www.mywebsite.com or www.pbhs.com
Contact Phone Number*
Contact E-mail Address*
If PBHS Support has any questions, we would like to use this e-mail to communicate.
Do you want us to include your Launch Video in your playlist?*
- Yes
- No
- I don't have Launch Video
Do you want us to include your Launch Survey testimonials?*
- Yes
- No
- I don't have Launch Survey
Do you want us to include any videos from YouTube?*
- Yes
- No
Please copy and paste the URLs to the YouTube videos you want to include
Do you want us to link your Facebook page?*
- Yes
- No
- I don't have a Facebook page
Please provide your business Facebook page URL:
The Silent Partner system comes with educational procedural video preloaded. Please select the videos you would like included:
- Dental Implant Overview
- Dental Implant Testimonials
The Silent Partner system comes with a news ticker (cyron) that plays at the bottom of the screen and can be customized with different news feeds. Please select all the categories you would like displayed:
- Local Weather
- Entertainment News
- Financial News
- Health News
- Sports News
The Silent Partner system also comes with 5 curated relevant health and news YouTube videos that change every month. Would you like those included in your playlist?
NOTE: These videos are streamed directly to the Silent Partner device and require a robust internet connection to function reliably.
- Yes
- No
Thank you for completing this form. Please click the "Submit" button below.

Upon shipping we will email you a tracking number.
Phone
This field is for validation purposes and should be left unchanged.

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ADA is a registered trademark of the American Dental Association. ADA Business Resources is a program brought to you by ADA Business Enterprises, Inc., a wholly owned subsidiary of the American Dental Association. ADA Business Resources™ is a service mark of the American Dental Association.

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