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Additional information

Your order

Product Subtotal
× HIPAA secure digital client intake forms  × 1 $30 / month and a $100 sign-up fee
× Enterprise  × 1 $1,999 / month and a $2,999 sign-up fee
Subtotal $5,128
Total $5,128
Recurring totals
Subtotal $2,029 / month
Recurring total $2,029 / month
First renewal: April 30, 2026

Want to add more services?
Go to the pricing page and select your Plus plan add-ons.

Payment Info.

  • Pay securely using your credit card.

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