Personalize | Simplify

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Pick your Forms
Personalize
Pick a Pricing Plan
Sign Up
Profit!
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SERVICE PLANS

PRICING

Pricing Options are per Provider for Monthly & Annual Plans. Talk to us for volume discounts for multiple providers. Includes standard variations of New Patient Registration, Treatment Consent, HIPAA Consent & Financial Policy consent.

Pay per Use

$5

per invitation sent

No Minimums
Personalization Included
New Patient Benefit Verification
Patient Balance Text
Invitation Portal for Forms & Bills
HIPAA Compliant
Monthly Billing
Includes Online Payments
One Time Registration - $299
Cancel Anytime

Monthly

$149

per month

No Minimums
Personalization Included
New Patient Benefit Verification
Patient Balance Text
Invitation Portal for Forms & Bills
HIPAA Compliant
Monthly Billing
Includes Online Payments
One Time Registration - $149
1 Month Commitment

Annual

$125

per month (paid annually)

No Minimums
Personalization Included
New Patient Benefit Verification
Patient Balance Text
Invitation Portal for Forms & Bills
HIPAA Compliant
Monthly Billing
Includes Online Payments
No Registration Fee
1 Year Commitment

GET STARTED

Diversify your patient demographic by attracting the more Net savvy patients!

Introduce Yourself

Tell us about your practice, yourself and where do you currently live on the Internet.

Get the Forms you Need

Pick from available Template Or Customize a template that you like (there maybe additional charge):

  • New Patient Registration
  • Treatment Consent Form
  • Privacy & HIPAA Policy Acceptance 
Or Simply Upload your form as a PDF or take a picture and email to orders@patient.ink
Have HIPAA & Privacy Policies? 
No problem – Upload those and we will include those on your microsite.

Customize your Microsite

You will be able to personalize the URL where your patients will go and fill forms or make payments – pick a extension that best matches you.

Choices are: .care, .vip, .ink and .tech

Don’t have a website? Check out the awesome design options from Practice Tech Solutions.

Pick a Pricing Plan​

Pick a Plan that best suits your needs.  Remember to pick Insurance Benefits Verification to maximize the benefit of the service we provide.

All Set!

Fill up the form and we will get working. We will be in touch to get some more details on your current web host as well as setting up Online Bill Payment. Remember to go through our FAQ’s if you have any more questions or reach out to us.