Get the QuicFax™ Plugin We'll have you up-and-running in no time. Normal Price $500 Implementation per location 15¢ per page (just 3 nickels) Act before May 15, 2017 and pay no implementation or setup 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.QuicFax ModulePlease 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. AuthorizationTerms and Conditions. *By subscribing to a Plugin, Module 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. The QuicFax module requires a credit card on file for monthly per-page usage auto-billing. Yes, I agree to the terms and conditions listed above. Auto-bill Credit Card Number * Please provide the credit card number you'd like us to keep on file for all faxes sent through this integrated clinical fax module.Credit Card Expiration Date * Example: 04/21Name on Card *Billing Address for Credit Card *AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeUnited States of AmericaCanadaMexicoCountryElectronic Signature *Please enter your full name above. Your IP address and computer name are being logged along with date and time stamp. 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 Posts 4846 Trying to fit all your Therapists on the Same Screen? Version 184.108.40.206 Releasing March 31. Click to read full release notes. Created the wrong type of Note? Version 220.127.116.11 Releasing Nov 6. Click to read full release notes.