Welcome to Confident!
Tell us about yourself
*
Your Name
*
Your Title
Practicing Since
Since when are your practicing?
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
*
Country
United States
Canada
Details about your practice
*
Practice Name
Do you or your practice work through multiple locations?
Yes
No
Who do you work with?
Doctors
Hygiensts
Auxiliary Dental Staff & Assistants
Administratives
How would you describe the record keeping at your practice?
Fully Print
Fully Electronic
Mixed
What software are you currently using?
Practice Management Software
Other Software
Confident brings mobility and cloud-based processing!
Do you own one of the following?
iPad
iPhone
Android Tablet
Android Phone
How may we contact you?
By Email
By Telephone
By Mail
Address
Address (more)
Zip Code
City
*
State/Province
Choose one...
Alabama, US
Alaska, US
Arizona, US
Arkansas, US
Armed Forces America
Armed Forces Europe
Armed Forces Pacific
California, US
Colorado, US
Connecticut, US
Delaware, US
District of Columbia, US
Florida, US
Georgia, US
Hawaii, US
Idaho, US
Illinois, US
Indiana, US
Iowa, US
Kansas, US
Kentucky, US
Louisiana, US
Maine, US
Maryland, US
Massachusetts, US
Michigan, US
Minnesota, US
Mississippi, US
Missouri, US
Montana, US
Nebraska, US
Nevada, US
New Hampshire, US
New Jersey, US
New Mexico, US
New York, US
North Carolina, US
North Dakota, US
Ohio, US
Oklahoma, US
Oregon, US
Pennsylvania, US
Rhode Island, US
South Carolina, US
South Dakota, US
Tennessee, US
Texas, US
Utah, US
Vermont, US
Virginia, US
Washington, US
West Virginia, US
Wisconsin, US
Wyoming, US
Alberta, CA
British Columbia, CA
Manitoba, CA
New Brunswick, CA
Northwest Territories, CA
Nova Scotia, CA
Nunavut, CA
Ontario, CA
Prince Edward Island, CA
Quebec, CA
Saskatchewan, CA
Yukon, CA
Undefined
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