Getting Started

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Let’s Get Started…

Let us help you take that first step to streamlining your workflow and establishing higher levels of efficiency in your organization.  Starting at less than $2.00 a day per user, per month gets you a no gimmick, no multi-year contract obligation, just an easy to use solution developed from providers just like you. 

Reach out to us by calling 1-800-451-5351 for any questions, to receive a quote or schedule a demo before registering.

If you are ready to register, please fill out the form below with your contact and company information, please indicate the number of users and make sure to review and accept the “Terms Of Service”. We accept the following secure forms for recurring payment: Visa, MasterCard, Discover & Bank ACH Draft. Once you have submitted the registration information, one of our representatives will contact you and assist with the rest of the setup process.

Account Information

Company Name:
Contact Name:
Phone:
Fax:
E-mail:
Street Address:
City:
State:
Zip:
Number of Therapist Users:
Will you be utilizing the Billing Module:
If yes, how many Billing Users:
How many Clerical (Read-Only) Users:
I Agree to Accept the Terms of Service:

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Payment Information:*Note* No charges are being processed at this time. This information is for setup and recurring monthly charges only.
Card Holder Name:

Payment Type:
Card Number:
Billing Address:
Billing City:
Billing State:
Billing Zip:
Expiration Date:
Digital Signature: (First & Last Name)
By submitting this form you are confirming you have the authority to provide Americana Corporation with credit card information for the use of the charges mentioned in your quote for the member subscription to Amerapeutic Therapy System, unless paying by some other method.
Please enter the text you see: