DOCPAYFreedom Enrollment Page
Looks great to me. Sign me up!
Note- This form is used to record the information required for your enrollment in the DOCPAY Freedom program. You should receive an enrollment packet by email within the next business day. For your convenience the forms will already have your information inserted. All you will need to do is print the documents, make any changes that are needed, sign at the indicated locations and either scan and email the agreement to firstname.lastname@example.org OR fax the forms to DOCPAY. Per federal regulations, you will also need to fax or email a copy of the practice owner's drivers license, a voided check from the account that funds should be deposited into and a copy of your business license.