PRICING

Intake should be easy.

Get 10% off with an annual plan
$49
/ mo
Billed monthly

Powerful tools to transform the way you collect patient data

  • Forms
    Unlimited
  • Storage
    Unlimited
  • Patient's
    Unlimited
  • Submissions
    Unlimited
  • Custom
    Branding
  • E-signatures
  • Submission Export PDF/CSV
  • HIPAA Compliant
  • BAA
  • Email/Phone/Chat Support
  • $14/ Add'l User
  • EHR Integration
Start 14 Day Trial!
No Credit Card Required
10% OFF!
$49
/ mo
Per month when paid annually

Powerful tools to transform the way you collect patient data

  • Submissions
    Unlimited
  • Forms
    Unlimited
  • Storage
    Unlimited
  • 2 Users
    included (ext. @ $8)
  • Custom
    Branding
  • E-signatures
  • PDF/CSV Export
  • HIPAA Compliant
  • BAA
  • Email/Phone/Chat Support
  • EHR Integration
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
Premier
$49
/ mo

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
    $7/mo
  • HIPAA Compliant
    Yes
Get 2 months free with annual prepay.
Get Started!
EHR Integration
Contact Us

For providers ready to streamline thei forms

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

Pricing

Simple pricing.
Options to suit every budget.
Thank you!
Please complete all required fields.

Common Questions

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.

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.

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 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.

Why Choose ZENTAKE?

Starter
$29
/ mo
Get Started!
Premier
$49
/ mo
Get Started!

HIPAA compliant

Mobile friendly

Office tablets

Office kiosk

Email/Text

Text

Conditional Logic

Custom Forms

Office Branding

E-Signature

File upload

Photo capture

BAA

Form Reminders

Have more questions?

Talk to a specialist to find a solution that is right for you, or explore additional options.

Get in touch