Pricing

Affordable pricing plans

Get Started Risk Free. 30 Day Money Back Guarantee. Cancel Any Time.

Basic

$34
/mo

Tools to help you gather patient information in a new way.

Check - Elements Webflow Library - BRIX Templates
10 Submissions/month
Check - Elements Webflow Library - BRIX Templates
Unlimited Forms
Check - Elements Webflow Library - BRIX Templates
Unlimited Packets
Check - Elements Webflow Library - BRIX Templates
1 User
Check - Elements Webflow Library - BRIX Templates
Email/Chat Support
Get started

EHR Integration

$89
/mo

Maximize patient data collection with our integrated, advanced tools

Check - Elements Webflow Library - BRIX Templates
Unlimited Submissions/month
Check - Elements Webflow Library - BRIX Templates
Unlimited Forms
Check - Elements Webflow Library - BRIX Templates
Unlimited Packets
Check - Elements Webflow Library - BRIX Templates
$25/Addl. User/Provider
Check - Elements Webflow Library - BRIX Templates
Email/Chat/Phone Support
Contact Us

Basic

$29
/mo

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Check - Elements Webflow Library - BRIX Templates
10 Submissions/month
Check - Elements Webflow Library - BRIX Templates
Unlimited Forms
Check - Elements Webflow Library - BRIX Templates
Unlimited Packets
Check - Elements Webflow Library - BRIX Templates
1 User
Check - Elements Webflow Library - BRIX Templates
Email/Chat Support
Get started

Advanced Solutions

$949
/year

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Check - Elements Webflow Library - BRIX Templates
Unlimited Submissions/month
Check - Elements Webflow Library - BRIX Templates
Unlimited Forms
Check - Elements Webflow Library - BRIX Templates
Unlimited Packets
Check - Elements Webflow Library - BRIX Templates
$250/Addl. User/Provider
Check - Elements Webflow Library - BRIX Templates
Email/Chat/Phone Support
Get In Touch

Intake should be easy.

Get started free. No credit card required. Cancel any time.

PRICING

$29
/ mo
Billed monthly

Powerful tools to transform the way you collect patient data

  • 1 User
  • 10 Submissions/month
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • Email/Chat Support
Start 10 Day Trial!
No Credit Card Required
$59
/ mo
Billed monthly

Powerful tools to transform the way you collect patient data

  • 2 User
  • Unlimited Submissions
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • $15/ Add'l User
  • Email/Phone/Chat Support
  • EHR Integration
Start 10 Day Trial!
No Credit Card Required
$119
/ mo
Billed monthly

Powerful tools to transform the way you collect patient data

  • 4 User
  • Unlimited Submissions
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • $20/ Add'l User
  • Payment Support
  • Automated Calculations
  • EHR Integration
Start 10 Day Trial!
No Credit Card Required
Standard
$29
/ mo
Billed Annually

Powerful tools to transform the way you collect patient data

  • 1 User
  • 10 Submissions/month
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • Email/Chat Support
Try Free for 10 Days
No Credit Card Required
Pro
$49
/ mo
Billed Annually

Powerful tools to transform the way you collect patient data

  • Unlimited User
  • Unlimited Submissions
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • $14/ Add'l User
  • Email/Phone/Chat Support
Try Free for 10 Days
No Credit Card Required
EHR Integration
Billed Annually

All of our Standard or Pro features, plus further customization/integrations with your EHR/PMS

  • User
  • Unlimited Submissions
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • $24/ Add'l User
  • Payment Support
  • Automated Calculations
Try Free for 10 Days
No Credit Card Required
$29
/ mo
Billed monthly

Powerful tools to transform the way you collect patient data

  • 1 User
  • 10 Submissions/month
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • Email/Chat Support
Start 10 Day Trial!
No Credit Card Required
$59
/ mo
Billed monthly

Powerful tools to transform the way you collect patient data

  • 2 User
  • Unlimited Submissions
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • $15/ Add'l User
  • Email/Phone/Chat Support
  • EHR Integration
Start 10 Day Trial!
No Credit Card Required
$119
/ mo
Billed monthly

Powerful tools to transform the way you collect patient data

  • 4 User
  • Unlimited Submissions
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • $20/ Add'l User
  • Payment Support
  • Automated Calculations
  • EHR Integration
Start 10 Day Trial!
No Credit Card Required
$29
/ mo
Billed Annually

Powerful tools to transform the way you collect patient data

  • 1 User
  • 10 Submissions/month
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • Email/Chat Support
Try Free for 10 Days
No Credit Card Required
$49
/ mo
Billed Annually

Powerful tools to transform the way you collect patient data

  • Unlimited User
  • Unlimited Submissions
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • $14/ Add'l User
  • Email/Phone/Chat Support
  • EHR Integration
Try Free for 10 Days
No Credit Card Required
EHR Integration
Billed Annually

Powerful tools to transform the way you collect patient data

  • User
  • Unlimited Submissions
  • Unlimited Forms
  • Unlimited Packets
  • E-signatures
  • Practice Branding
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • $20/ Add'l User
  • Payment Support
  • Automated Calculations
  • EHR Integration
Try Free for 10 Days
No Credit Card Required
$49
/ mo
Billed monthly

Powerful tools to transform the way you collect patient data

  • Forms
    Unlimited
  • Storage
    2GB
  • Patient's
    Unlimited
  • Submissions
    Unlimited
  • Custom
    Branding
  • E-signatures
  • Submission Export PDF/CSV
  • HIPAA Compliant
  • BAA
  • Email/Chat Support
  • $14/ Add'l User
  • Calculations
  • Collect Payment
  • EHR Integration
Get Started!
Risk Free, 30 Day Money Back Guarantee
Premier
$59
/ mo

For solo providers ready to streamline forms

  • Submissions
    Unlimited
  • Forms
    Unlimited
  • Storage
    Unlimited
  • Email/Phone support
    24/7
  • BAA
    Yes
  • Addt'l. User
    $9 /mo
  • HIPAA Compliant
    Yes
Switch to annual prepay to get 2 months free.
Get Started!
EHR Integration
Contact Us

Powerful tools to transform the way you collect patient data

  • Submissions
    Unlimited
  • Forms
    Unlimited
  • Storage
    Unlimited
  • Email/Phone support
    24/7
  • BAA
    Yes
  • Addt'l. User
    -
  • HIPAA Compliant
    Yes
Switch to annual prepay get 2 months free.
Schedule a call
Need an Elation EHR Integration? Contact Us

Common Questions

Will my clients need to create an account to complete my forms?

No, clients do not need to create an account to sign documents. Clients can complete and sign online from anywhere and on any desktop or mobile device.

How long is my contract?

All plans are month-to-month. You’re free to cancel at any time.

Do Zentake's forms work on all devices?

Yes, Zentake forms look and feel great on mobile, tablet, and desktop.

Can I get a BAA?

Yes. BAAs are included on all plans. You electronically consent to our BAA upon creating an account. Terms of Service.

Will I be charged by the number of Forms/Packets?

No, plans come with unlimited Forms and Packets. You can add/send as many forms and Packets as you need and there is no extra charge. Additionally, we don't charge by the number of forms submitted.

We’re a non-profit organization, is there special pricing available?

Yes, we offer special pricing to qualified non-profit organizations. Contact our customer support for details: support@zentake.com

Why Choose ZENTAKE?

30 Day Money Back Guarantee

If for any reason, you are unsatisfied with our service, we offer a full refund.

24/7 Customer Support

Our award winning customer service team is always available to assist you with anything you need.

Cancel Anytime

You've got enough to worry about. So if you need to cancel your subscription, we won't question it.

Have more questions?

Talk to us to find a solution that is right for you.

Get in touch