Your form
Start from perio, endo, oral surgery, ortho, or general. Drag fields into place and add your logo.
For specialist offices
Referral forms your referring offices will actually finish
Design the form, put it on your website, and read every referral in one inbox. Referring dentists do not create an account. Paper still works when someone needs a copy.
Basic $19/month for 10 live forms. Pro $30/month for 20. Unlimited referrals. Free for referring offices.
Easy to share
Send a link or paste an iframe on your site. No login for the referring office.
One inbox
New, Reviewed, Contacted, Scheduled, Declined, or Closed — plus a private note and a PDF.
What it is not
DentalSlip does referrals. It does not schedule visits, bill patients, or replace your practice software. It sits next to the tools you already use.
Common questions
- Do referring offices need an account?
- No. A referring dentist or their staff open the form, fill it out, and submit. They are not asked to create a login.
- How much does DentalSlip cost?
- Basic is $19 per office per month and includes 10 live forms. Pro is $30 per month and includes 20 live forms. Both plans can save up to 20 templates and receive unlimited referrals. Referring offices are never charged.
- What happens if I have more forms than my plan allows?
- Drafts and archived forms do not count as live. Publishing stops when you reach the live limit. Archive or unpublish a form to free a slot. Existing referrals stay in the inbox.
- Can patients still leave with a paper copy?
- Yes. The form offers a blank printable version, Print without submitting (marked Not submitted online), and Submit and print. Printing never means the referral was delivered.