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Confirm your plan

A few details to get started.

1 Practice
2 Prescriber
3 Consent

Company

The practice or business entity that will hold the account.

Enter the legal business name.
Select an entity type.
Select a state.

Business address

HQ / billing address for this account.

Enter the street address.
Enter the city.
Select a state.
Enter a valid ZIP.
Select the number of locations.
Choose at least one care model.
Select at least one state.

Owner

Enter first name.
Enter last name.
Enter your title.
Enter a valid email address.
Enter a 10-digit mobile number.
Enter a 10-digit office number.

Prescriber basics

High level only — detailed roster and licensing come later.

Choose a prescriber path.
Enter the prescriber's name.
Enter a 10-digit NPI.
Select at least one state.
Select at least one state.
Choose one.

Your selection

Confirm before lock-in — adjust if needed.

$499 / mo subscription total

Excludes shipping, order handling, and any usage-based or quoted items — see the pricing page for those.

Consent

Not a signature. We’ll use this to follow up and schedule kickoff.

You're locked in

Your practice is locked in on the Growth plan. Our team will follow up within one business day to schedule your kickoff call and walk through the MSA and BAA together — this still isn't a signature, that happens on the call.

What you submitted

Saved on this device. Download a copy below if you'd like one.

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