ServDentistTV V7 form | Infosign Média

Approval Form for the Implementation of ServDentist TV 7

Version Française

Clinic Name(Required)

Country(Required)

State / Province(Required)

Person in Charge

Phone(Required)

Email Address(Required)

Clinic Website

Clinic Type / Practice Area

If your clinic specializes in a particular area (for example: Implantology, Denturology, Orthodontics)

ACDQ Account Number

If you have it available, otherwise a team member will request it by phone

Dentist Name on the ACDQ Account

If you have it available, otherwise a team member will request it by phone

ServDentist TV 7 Installation Details:
An invoice of $399 + taxes for the initial setup fees will be issued.

Your ServDentistTV V7 solution includes: Shipping of your controller with the software, postage fees, and the creation of your new account.

A 12-month agreement will be sent to you outlining the terms and conditions.

Note: The new version of the TVO screensaver application (solution for treatment rooms) will be updated during the course of 2026.

Please select the ServDentist TV 7 package that best suits your needs:(Required)

ServDentist TV 7 (ACDQ members): $80/month

ServDentist (Suite) (ACDQ members): $110/month

Number of treatment rooms

In how many rooms would you like to install the ServDentist TVO application (display solution for treatment rooms)?

ServDentist TV 7 Inclusions
- Rental of a ServDentistTV controller (waiting room)
- 1 user license for the ServDentistTV 7 web application

ServDentist Suite Inclusions

Includes for ServDentist TVO:
- 1 user license for the ServDentist TVO software
- ServDentist TVO setup on your workstations (5 treatment room screens)
* Additional screen: $5/screen/month

Includes for ServDentist CX:
- 1 user license for the ServDentist CX software
- ServDentist CX portal setup

Initial fee for software installation on your computers
$199 + tax

Approval Form for the Implementation of ServDentist TV 7

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