Flex Essentials Package

For the practice looking to prioritize efficiency, communication, and enhance patient experience. Get started with no installation fee and no long-term contract.

Payment Method

Credit Card
Direct Debit (ACH)

Customer Information

Email Address *

Phone

Organization

Shipping Information

First Name *

Last Name *

Shipping Address 1

Shipping Address 2

Shipping Country

Shipping City

Shipping State

Shipping ZIP Code

Billing Address

Use Shipping Address

Use a different Billing Address

Address 1 *

Address 2

Billing Country *

Billing City *

Billing State *

Billing ZIP Code *

Billing Information

All transactions are secure and encrypted.

First Name on Account *

Last Name on Account *

Card Number *

CVV *

Expiration Month *

Expiration Year *

Additional Information

Anything you want to tell us? (Optional)

Business Type

How did you hear about us? (Optional)

Job Title

Legal Entity Name

Practice Website

Subscription Agreement

None
I agree

Tax/Business ID

I accept the Terms and Conditions

Recurring Fee (every 1 month)	$299.00
Open Dental Integration Fee	$15.00
Today's Total	$314.00
then $314.00 at first renewal on 10/25/2026
Merchant contact info: 833-321-FLEX (3539) contact@flexdental.co 10745 Westside Way Suite 350, 30009 Alpharetta, GA, US