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Your order

Product Subtotal
× HIPAA secure digital client intake forms  × 1 $30 / month and a $100 sign-up fee
Subtotal $130
Total $130
Recurring totals
Subtotal $30 / month
Recurring total $30 / month
First renewal: June 17, 2024

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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