2026-01-20
The best fields to include on a Dentistry lead form
If you rely on inbound leads, your dentistry contact form is one of your highest-impact pages.
Recommended form fields for Dentistry
- Full name
- Phone number
- Email (optional)
- Appointment type (cleaning, consultation, emergency, cosmetic)
- New patient? (yes/no)
- Insurance provider (optional)
- Preferred days/times
- Location preference (if multiple offices)
Example questions to include
- Are you a new patient?
- What’s the reason for your visit?
- Are you experiencing pain or swelling?
- Do you have dental insurance? (optional)
- What times work best for you?
A/B tests worth running
- Test CTA: Book an appointment vs Request availability
- Test asking insurance info (optional) vs not asking at all
- Test "New patient special" mention vs no mention
- Test shorter form vs appointment-type-first flow
- Test offering call-back within 15 minutes vs generic follow-up
Quick setup
- Open FormHuntsman
- Add your domain
- Run a scan and pick one small test to launch
Next steps
Run one experiment, measure results, then iterate. Small wins compound fast when you keep a simple testing rhythm.