Get the Cobility™ Plugin We'll have you up-and-running in no time. Normal Price $250 per month for first location $50 per month for each additional location to pipe the data in. (+ $500 one-time implementation fee) Limited time offer! Act before May 15, 2017, choose annual subscription and get your FIRST THREE MONTHS FREE, and no implementation fee! Let's do this! Client InformationOrganization Name *Name of your practice or organization.Contact Person Name of the person whom the invoices will be going to be sent to. Organization Address *AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeUnited States of AmericaCanadaMexicoCountryPhone *Email *Email address of the contact person whom the invoices will be sent to. Plugins / Modules / Services *Check all plugins you want added.Cobility™ Referral ManagementPlease tell us which locations you'd like this implemented. You can list specific locations, or tell us to implement for all your locations.How many locations do you want activated? *You may have 50 locations, but perhaps you only want 5 locations using this plugin. Please tell us anything here. Subscription *Would you like to commit annually and save $1250 per year and get free implementation? Or would you prefer to go month-to-month?Annually - Bill me now $2250 for the first location, plus $500 for each additional location noted above, and continue annually. (3 months free every year and no implementation fee!)Monthly - Bill me now $500 for implementation and setup, $250 for the first location, plus $50 for each additional location noted above, and continue monthly. AuthorizationTerms and Conditions. *By subscribing to a Plugin or Service (the Module), you are requesting the Company add the Module, and its’ associated fee(s) (the Addendum) to your existing Software Acquisition Agreement and Licensing Agreement (“Licensing Agreement”) with the Company. Use of the Module is provided, permitted and governed by the terms of the Licensing Agreement. By agreeing to the terms and condition above, you are agreeing to this Addendum to the Licensing Agreement, and reaffirming all other of its original terms. In no way limiting or modifying the terms of the Licensing Agreement, we provide the following general disclosures: Due to the time-consuming nature of software integration, it will take our team time to install, configure, and test all plugin implementations. Therefore we cannot refund implementation fees under any circumstances. All monthly or annual subscriptions are pre-paid services and cannot be cancelled nor refunded. All monthly or annual subscriptions shall renew according to the terms of the Licensing Agreement. By agreeing to the terms and condition above, you are agreeing to this Addendum to the Licensing Agreement, and reaffirming all other of its original terms.Yes, I agree to the terms and conditions listed above.Electronic Signature *Please enter your full name above. This is considered your legal consent and endorsement and will be accepted as your written signature.VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank: Search for: Recent Blog Posts Trying to fit all your Therapists on the Same Screen? 4025 Version 126.96.36.199 Releasing March 31. Click to read full release notes. Created the wrong type of Note? Version 188.8.131.52 Releasing Nov 6. Click to read full release notes.