Pricingthatwaitsuntilitworks.
Most software asks you to pay first and hope it gets used. We flipped it. Your first month is free, and from month two you pay only if your patients actually used the form.
From month two, and only if patients used the form at least 10 times during the free month. Test runs never count. Most forms are $75 a month. Long or complex forms, such as multi-document intake packets, are up to $120. We confirm your form's price with your preview, before you approve it.
- Monthly$75/moNo commitment
- 3 months$67.50/moSave 10%
- 6 months$63.75/moSave 15%
- 1 year$60/moSave 20%
Pay 3, 6 or 12 months ahead and pay less, from the price confirmed with your preview. You pick your plan when you send your form, and can change it any time before your first billed month.
Send us your paper formNo setup fee · Nothing charged today- Built for you from your paper, page for page, in your wording
- Unlimited changes until you approve it
- An installable app for your front-desk tablet or patients’ phones
- Only the questions that apply to each patient
- Name, date of birth and signature entered once, carried to every page
- Photo uploads, a photo at signature and the signature location, if you want them
- One signed PDF per patient, plus a row in Google Sheets
- Filed in your practice’s own Google Drive
- HIPAA-ready, with a Business Associate Agreement signed with your practice, at no charge
- First version within 24 hours (48 to 72 on a busy day, shown before you confirm)
You pay for what patients actually use.
A practice with one intake form should not pay like a hospital. Each form has its own free month, its own count and its own price. Add a second form only when the first one earns its place.
If it's not used, it's not worth $75.
We would rather pause a form than charge you for a tool your front desk ignores. Ten real patient submissions in a month is our line between “nice idea” and “part of your day”.
10 / 10 real patient uses The form earned its place
Fewer than 10 by the end of the free month: paused, nothing charged.
Compare $75 to the hours you spend retyping.
Your numbers, not ours. Move the sliders to match your front desk.
of staff time spent copying paper into a screen. That is 1.8 working days every month. Now compare that with one flat price per form.
Start my free monthHow billing actually works.
No fine print, no surprise invoice. Here is exactly when money changes hands, and when it does not.
- TodayYou upload your formNo card is asked for and nothing is charged. We start building.
- Go-live dayYour free month startsIt starts when you approve the form, not when you upload it. Building and revisions happen before the clock starts.
- End of free monthWe count real usesOnly forms submitted by real patients count. Test runs are left out.
- Month twoYou pay, or you don’t10 uses or moreFrom $75 / monthFewer than 10Paused · $0
Not a tool. A finished form.
A builder hands your staff a blank canvas. We hand you your own paper form, already working as an app, and we keep changing it until you approve.
Three promises, in writing.
Late? Free month.
If your first version misses the time we gave you, a second free month is added to that form. Automatically.
Barely used? Nothing charged.
Under 10 real uses in the free month, we pause the form and nothing is charged.
Paused? Your records stay yours.
We only ever pause or remove the form itself. Your patient records are never deleted.
Billing questions, answered
No. We build your form first, with no card. We ask for one before your first billed month, and nothing is charged unless your form was used at least 10 times during your free month.
Try it for a month. Pay only if it works.
Send us a blank copy of your form today. Your free month only starts once you approve it.