Your Office InformationContact Name First Last Contact Email Name of Medical Clinic Medical Clinic Website Office PhoneMain Provider Name First Last Main Provider Email Cerbo EHR URLEHR Website URL EHR Patient Portal URL PaymentPayment Options Single Payment – $750 SAAS Setup and $55 per month Payment Plan – $500 Down & 11 Payments of $175 May Special No Signup Fee $55/month Not needed I am integrated already Credit Card # EXP Date Security Code
