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Form demos

Dental appointment form

A dental appointment that asks only what the visit needs: a check-up asks about your last visit, pain asks how bad it is. Try it, then see the other clinic forms.

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Dental appointment

A check-up asks when you last visited, and pain opens a question about how bad it is.

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Test mode: you can try this form, but nothing you send is saved or passed on.

Your name
Are you a new patient?

All 6 forms

More forms in this category.

Every one is a working demo. 6 use conditional logic and 2 need FillKite Pro.

Dental appointment

Conditional logic. A check-up asks when you last visited, and pain opens a question about how bad it is.

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Emergency dental request

Conditional logic. A broken tooth, swelling or bleeding each show the right advice, and swelling shows a warning.

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Teeth whitening enquiry

Conditional logic. Smokers and coffee drinkers get extra advice, and past sensitivity asks which kind.

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Orthodontic consultation

Conditional logic. A child’s form asks for a parent, and clear aligners open a question about teeth already moved.

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Dental history in steps PRO

Multi-step, Logic · Conditional logic. A new-patient form in three short steps: you, your teeth, then your health. Each step is easy to finish.

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Treatment cost estimator PRO

Calculation, Logic · Conditional logic. Choose the treatment and how many teeth: the estimated cost is worked out live.

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How it works

From this page to your site in three steps.

  1. Install FillKite

    It is free. In your WordPress admin go to Plugins → Add New, search for FillKite and press Install Now.

  2. Download the form

    Every demo has a Download button. You get a small .json file.

  3. Import it

    In WordPress go to FillKite → Import → From a FillKite file, choose the file, and import. Change anything you like, then publish.

More form types

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Photo shoots, weddings, video, logos and package prices.

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Weddings and events

Wedding RSVPs, venues, caterers, song requests and budgets.

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Questions

About these dental appointment form demos

Which forms are in this category?

There are 6: Dental appointment, Emergency dental request, Teeth whitening enquiry, Orthodontic consultation, Dental history in steps, Treatment cost estimator.

Are these forms free?

4 of the 6 work with the free FillKite plugin. The other 2 are tagged PRO and use FillKite Pro; you can still try them here.

Do they use conditional logic?

6 of the 6 show or hide fields depending on earlier answers. Each form page explains its rules.

Is anything I type saved?

No. Demo forms run in test mode, so nothing is saved and no email is sent.

How do I use one on my site?

Install FillKite, download the form with the button on this page, then go to FillKite → Import → From a FillKite file and choose the file. After importing, open it in the builder, change anything you like and add it to a page.

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