Configure Your Plan

HIPAA Compliant emails with a Business Associates Agreeement (BAA) via Hushmail. For 2 or more emails, you can have the maximum amount of HIPAA Compliant Secure Customizable Intake Forms for each package tier (ex: Up to 5 forms for the 5 email package)

Mentaya's Benefits calculator gets prospective clients to start working with you by instantly showing them how much money they can save on therapy (based on their specific insurance plan). Try it for 2 months free by 1/ clicking the "select" button above, 2/ clicking the green"update totals" button below and entering coupon code 'MENTRIAL2' in the Coupon code field.This add-on encourages prospective clients to book with you when they can see in advance how much money they can save using your services.

Update Totals

Coupon code

Customer Information

First Name *

Last Name *

Email Address *

Phone

Organization

Billing Information

All transactions are secure and encrypted.

First Name on Account *

Last Name on Account *

Card Number *

CVV

Expiration Month *

Expiration Year *

Billing Address

Address 1 *

Address 2

Billing Country *

Billing City *

Billing State *

Billing ZIP Code *

I accept the Terms and Conditions

Setup Fee	$100.00
Recurring Fee (every 1 month)	$75.00
Today's Total	$175.00
then $75.00 at first renewal on May 16, 2024