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Terms Summary

30 Day free Refund Window
$39.95 / user / month SaaS thereafter

Subject to our terms of service

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After this form you will receive:

An Email From One of Our Staff Members
A BAA via DocuSign

Main Organization Name

Super admin users will be able to control and see every patient and clinician inside every sub organization. Think billing, adding clinicians etc.

Super Admin User First Name

Super Admin User Last Name

Super Admin User Email

Is the Super Admin the same person as the authorized Signee of the Business Associates & Software as a Service agreements?

Yes

Signee First & Last Name

This is the full name of the authorized Signee of all legal agreements. Only Enter if different from the Main Admin User

Signee Email

This is the email address of the authorized Signee of all legal agreements. Only Enter if different from the Main Admin User

Do you require any additional Super Admin Users? If yes, please enter their first, last & email below:

You can set lower level admins per sub organizations later. A super admin has full control over everything, while sub organization admins only control specific groups within your software.