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Screening Tool

Free

Free

  • double checkmark1 User
  • double checkmarkEnglish & spanish
  • double checkmark3 Custom forms
  • double checkmarkSend 50 forms / mo
  • double checkmark25 fields / form
  • double checkmarkLimited analytics¹
  • double checkmarkOnline support

Basic

$39/ month

  • double checkmark1 User
  • double checkmark20 languages
  • double checkmark30 Custom forms
  • double checkmarkSend 10,000 forms / mo
  • double checkmark100 fields / form
  • double checkmarkCustom branding
  • double checkmarkLimited analytics¹
  • double checkmarkOnline support

Pro

$99/ month

  • double checkmark2 User
  • double checkmark50 languages
  • double checkmark100 Custom forms
  • double checkmarkSend 100,000 forms / mo
  • double checkmark200 fields / form
  • double checkmarkCustom branding
  • double checkmarkHIPAA compliance available
  • double checkmarkFull analytics¹
  • double checkmarkOnline support

Enterprise

Enterprise

  • double checkmarkUnlimited Users
  • double checkmarkAll languages
  • double checkmarkUnlimited Custom forms
  • double checkmarkSend unlimited forms
  • double checkmarkUnlimited fields / form
  • double checkmarkCustom branding
  • double checkmarkCustom domain
  • double checkmarkHIPAA compliance available
  • double checkmarkFull analytics¹
  • double checkmarkOnline support

quote icon

“There's nothing out there quite like it. Brella is a unique application that benefits all parties involved. The clinics, the doctors, the nurses, and most importantly the patients. I wouldn't be surprised if it becomes the medical standard for patient intake.”

Josh Jensen

Dr. Josh Jensen

Co Founder

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