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Dentist Application for City DRS - City Dental Referral Service and Web Site Design

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Dear Colleague,

As a dentist and web designer, I have founded a new web designing company, CityDRS, FOR DENTISTS ONLY.  Imagine the communication power of a CityDRS web site from which patients can schedule and submit information to you directly over the internet... in a safe and secure manner.  CityDRS is a direct result of the success of my personal office web site in Seattle which generates new patients every week.  Imagine what a web site with this depth and design can do for your practice.  I assure you that your CityDRS designed web site will be EXTREMELY visible in your area!  How do I know?... because I have studied each web search engine individually and amalgamated this info to achieve the highest rankings possible.  And if my web site can succeed in Seattle, where there is a higher density of dentists than anywhere else in the country, AND where there are an extremely high number of web sites, then it can succeed where you practice.

City DRS will design and maintain your web site for less than half the cost of what many other companies charge, and you will be purchasing a proven marketing model.  For $825 US, we will design your web site, complete with photos, descriptions, health history forms, and electronic scheduling forms.  Our referral service works by maintaining our encrypted Electronic Application Form which will appear on your web site.  When patients fill out this form, you will receive an e-mail with their detailed info, including insurance and personal details.  You can then schedule these patients at your leisure!  We charge $48 per e-form referral.  Also, you can expect to receive a significant percentage of patients who will not fill out the electronic form and choose instead to simply call or e-mail you directly.  All of these patients are yours without commissions of any kind (Over 65% of my practice's internet patients contact us directly without filling the electronic form).

Service Cost
Monthly fee None
Web Site, including secure encryption forms... $825
Web Site Domain Name (1st 2 years) $70
Ad Free Hosting Service with Hypermart, including access to site statistics $100/year
Price per Electronic Application Form referral patient $48
Routine page upgrades and photos free
Site submissions to the major search engines and directories free
Patients who contact you directly by e-mail / phone free

If you are interested in purchasing the encrypted electronic form outright, please indicate so on the form below, and we will be happy to e-mail you more details.

Once you mail us the pertinent information outlined below so that we may design your site, we will put your site together and then host it with Hypermart, the most popular free commercial web hosting service today.  If you elect to have Hypermart's banner ads removed from your web site (as I have done for www.seattle-dentist.com), the current price is $100/year, and includes other perks as well.  Feel free to visit their site at hypermart.net to see the quality of their program.  The only other cost you will incur is the rights to your own domain name, WWW.DRJOHNDOE.COM, which is $35/year, billed by the national registry.  Since even your web site name is important for increasing the visibility of your web site, we will help you choose an appropriate name for your site. 

If you would like to mail us any of the information requested below, please send correspondence to:

City Dental Referral Service  (c/o Dr. Ethan Janson)
Cobb Medical Center
1305 4th Ave.  #700
Seattle, WA  98101

And remember, since we are only accepting ONE DENTIST PER CITY, you may want to act now to lock in your position for your office's community!

Even if you just want more information, please complete the form below or e-mail us for more information.  We will design your site within 2 weeks from the time we receive all pertinent information from you.   Immediately after that, we will begin our submission of your web site to all of the major search engines and directories so that patients will be able to find you.   Please allow 2-12 weeks for your new web site to begin to appear as high as #1 on these search engines!

Please submit the SECURE form below to begin processing your web site.  Your information will Not be used for purposes other than inclusion in your web site.  You may also E-MAIL us the info if you choose.  Please be sure to include your e-mail address so that we can send you more detailed information from us at CityDRS.

Your Name
Office Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
Fax #
E-mail
Reconfirm e-mail
Office Description
Office Hours
Educational background,awards
Doctor's Philosophy
Services Offered (ie-ultrasonic cleaning)
Directions to your office
Do you have any other requests?

How did you find City DRS?


Thank you for your time. seattle dentist home.gif (2238 bytes) 

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Last revised: June 27, 2004