Your Website Information

Thank you for taking a few minutes to share what we need to build your new website. This form collects the facts about your practice, your services, and your local area. It takes about 20 to 30 minutes, and you can complete it in more than one sitting. Your progress is saved automatically in this browser.

About 20 to 30 minutes

Please do not include any client or patient names or health details in this form.

Have these ready

Gathering these before you start will make the form quicker to complete.

Logo file
Practitioner photo(s)
Clinic photos
Registration and certification details
A list of your services
Approved testimonials (with permission to publish)
Links to your social profiles

Step 1 of 138%

Practice Basics

Official practice name *

Short or everyday name

The name clients use day to day, if different from the official name.

Practice type *

Solo practitionerClinic with several practitionersPart of a larger organization

Street address

Used for the website and map. Skip if you prefer not to share.

Do not display my address publicly

City *

Province or territory *

Postal code

Canadian format, for example A1A 1A1.

Main phone number *

Public email address *

Year practice was established

Business hours

Set open and close times for each day, or tick "Closed".

MondayClosed

TuesdayClosed

WednesdayClosed

ThursdayClosed

FridayClosed

SaturdayClosed

SundayClosed

Do you see clients in person, online, or both? *

In personOnlineBoth

Parking, transit, or accessibility details clients should know

Only include details that are accurate.

Saved automatically