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Welcome to the HS1:Bola Account Update Form!

This form was created to help your team at HS1 submit account CANCELLATION requests to the Bola team.

Following the submission of this form, our team will process requests on a first-come, first-served basis and will let you know when account cancellations have been processed.

If you encounter any issues during this process or would like to contact our team, don’t hesitate to get in touch with us at [email protected].

Account CANCELLATIONS - HS1

Cancelation Request Information

What is your name?
What is your email?
What is the current name of the customer's business or office?
What is the customer's CID in HS1's Salesforce?

Cancellation Reasoning

Please check all cancellation reasons that apply to this customer's request for cancellation
Select all that apply
Which features were they hoping for? Why?
What issues were they experiencing? Were they related to the software, microphones, or both?
What performance issues were they experiencing? Were these issues consistent or intermittent?
Are they experiencing budget-related issues? What is a more reasonable cost/expense?
Which competitor did they decide to try?
Select all that apply
Did they not receive training? Did they not receive onboarding? Was there an unresolved issue with the support team?
Please elaborate on any of the cancellation reasons you've selected
Optional - the more details, the better
Would you like our team to contact you to discuss this request in greater detail?
Would the customer be willing to give Bola an exit interview?
Bola would compensate the customer for their time

Get A Customized Demo

Bola is trusted by over 10,000 dentists and hygienists who have completed over 3,000,000 charts successfully!

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”Our office stand of care requires full periochart with bleeding points and recession to be completed yearly. Prior to Bola, we were pulling assistants and other office staff to help speed up the process. Bola allowed the speed of having an assistant without using the manpower, thus allowing everyone's day to run more smoothly.

ERICA FOWLERSchaefer Dental 921

”In our search for a periodontal charting program for our hygiene team, we were continually disappointed with the options that we came across. We wanted a program that was reliable, effective, and efficient. Bola has been the first of its kind to satisfy all those needs for us and has been consistently giving us excellent results!

THE DOCTORSEno River Dental

”I like that patients appreciate the technology and hear what I am doing. Using Bola has helped me explain the importance of healthy gums, instead of preaching good oral health all the time.

YVETTEKarlie Gaskins, DDS

”[Bola] is giving the patient a better experience as they are not waiting during the appointment for the clinician to get up and get help.

JAZMIN DELGADOPure Dental Spa

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