Payment - HIPAAmart Online

HIPPAmart Membership

The price for membership is $0.00 per Month for the first two months. Starting in month three and thereafter,
the base license fee is $10 per month for the first user of the HIPAAmart System,
plus $10 per month for each additional User of the HIPAAmart System.

You are logged in as jaimin. If you would like to use a different account for this membership, log out now.

More Information

Company Name *

Number of Users of the HIPAAmart System *

Billing Address

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Postal Code *

Country *

Phone *

Email Address *

Confirm Email *

Payment Information We accept all major credit cards

Card Number

Expiration Date

CVC

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