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Simple, clean, and friendly
patient intake forms

We don't hold your data hostage. Export your patient information in multiple formats.

We're fully HIPAA and HITECH compliant. Your clinical data is kept safe with us.

Our service is accessible, quick, and reliable. Support is handled by humans.


Contact us for a demo

Pricing

  • Solo

    $49
    per month

  • Seats
    1
  • Patients
    < 1,000
  • Custom Domain
    No
  • Custom Branding
    Partial

  • Clinic

    $99
    per month

  • Seats
    10
  • Patients
    < 10,000
  • Custom Domain
    Yes
  • Custom Branding
    Yes

  • Enterprise

    –
    contact us

  • Seats
    Single Sign-On
  • Patients
    Unlimited
  • Custom Domain
    Yes
  • Custom Branding
    Yes