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Subscription Change Request Form

Please complete the following information to update your subscription with Unified Practice. 

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Plan Type = Starter, Enhanced, Premium, Billing Frequency = Monthly or Annual
If you need to update your credit card information on file or have done so recently, select Yes.

You can update your credit card information on file directly within the EHR.  Please click the Update Credit Card Information button below, this will open a new web browser tab.  

When finished, please click Submit to process your subscription change request.