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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.
If you have a TV screen in your waiting room currently, what are you showing on it?
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:
Facebook Page Login Email:
Note: If these credentials are not provided or are inaccurate, PBHS will not be able to set up Facebook integration.
Facebook Page Login Password:
Note: If these credentials are not provided or are inaccurate, PBHS will not be able to set up Facebook integration.
The Silent Partner system comes with educational procedural video preloaded. Please select any additional categories you would like included:*
- Dental Implant Overview
- Dental Implant Testimonials
- None of the above
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
- None of the above
The Silent Partner system also comes with optional Entertainment YouTube videos. These videos are curated and automatically updated periodically. Please select any of the following categories you would like on your device:*
NOTE: These videos are streamed directly to the Silent Partner device and require a robust internet connection to function reliably.
- Talk Shows (Jimmy Kimmel, The Tonight Show, The Late Show, etc.)
- DIY Home (HGTV, HouzzTV, Living Big in a Tiny House, etc.)
- Science and Tech (TED, TechCrunch, CNN, BBC, etc.)
- Food (Gordon Ramsay, Food Network, Jamie Oliver, etc.)
- Health (HealthDay)
- None of the above
What address(es) would you like us to ship your Silent Partner to? (If you have ordered multiple devices, you may include multiple addresses.) NO PO BOXES*
Thank you for completing this form. Please click the "Submit" button below.

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

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