We solve paper problems

Paper is expensive! Document related activities consume 15% of a company’s annual revenue.

Awesome web forms

This is an example of a typical web form we build for Health Practices’ new patient paperwork. Patients can easily fill out a form online before they arrive for their appointment.

Completed forms you are familiar with

After having patients fill out an online form, the document is saved and stored as a PDF document that looks exactly like the paper forms healthcare offices are used to.

Because paper is no fun!

• Do patients miss a field or section?
• Hard time reading someone’s handwriting?
• Asking patients to print paper at home?
• Mailing paperwork?
• Insecure
• Expensive – Avg 15% of a company’s revenue
• Hard to store and find
• Environmentally Harmful

Secure web forms

• Fill and submit paperwork at home
• Pre-certify your patients
• Enter patients into system before they arrive
• Reduce cancellation rate
• Improve scheduling
• HIPAA Compliant
• SSL Security
• Forms are always encrypted
• SAS 70 Type II and PCI Compliant Datacenter

We make it easy

• Use your existing paperwork
• Fits within existing workflow
• We build your web-form and pdf
• Affordable – Our platform allows us to easily build web forms fast. We pass the savings on to you!
• Fast – Get a solution in two weeks!

What happens first

• Send us a copy of your new patient paperwork
• Complete a signed Business Associate Agreement
• We put together a Form Design Proposal

Two-part Pricing

• One time Form Design – Average of $99/page
• Monthly Subscription – $50/month