Treatment estimates and care agreements, signed with consent
Set out the plan, every fee and the weekly charges in one branded document, then collect the acknowledgements, every signer and the first fees on signing.
- 5/5 on G2
- 4.2 on Capterra
- Building QuoteCloud since 2013
QuoteCloud is quoting, agreement and eSignature software for private clinics, allied health, in-home care and support providers and equipment suppliers. Build a treatment estimate or care agreement from your template, show once-off fees and weekly or fortnightly charges, add consent wording and an intake form, then the patient and their guardian or representative sign online and pay the first fees.
A sample in-home care agreement from a fictional provider, Kinfield Health, for Rosalind Avery: personal care three times a week, a weekly physiotherapy home visit, a nurse visit and weekday lunches, $676 a week and an estimated $4,296 over six weeks. In front, Rosalind's week with each visit on its day, and the consent card where Rosalind and her daughter Claire, her representative, both sign, then $916.00 is paid on signing.
Rosalind Avery, with Claire AveryRosalind's recovery care at home
- Personal care visit3 visits$306/wk
- Physiotherapy home visit1 visit$135/wk
- Nurse visit1 visit$145/wk
- Meal preparation5 meals$90/wk
Each week $676Estimated total, 6 weeks $4,296
Rosalind's week
- Personal care
- Physiotherapy
- Nurse visit
- Lunch prepared
Consent & signatures
- RARosalind AveryClient
- CAClaire AveryDaughter and representative
Paid on signing$916.00
Where a care plan usually comes apart
The care is planned well. The paperwork around it is spread across a Word estimate, a consent form, an email and a phone call. Here is what moves into one QuoteCloud document.
Try it: build a care plan, then sign it as the patient
Choose the service, the sessions per week and the program length, and the estimate, weekly charges and schedule follow. Then tick the acknowledgements and sign as the patient and their representative.
{"url":"app.quote.cloud · new document from template","ref_prefix":"KH-","valid":"Valid until Mon 9 Nov 2026","start":"Mon 2 Nov 2026","defaults":{"type":"home","per_week":3,"weeks":6,"period":"week","signers":"two","pay":"first","opts":["meals","nurse"]},"periods":[{"id":"week","label":"Weekly","per":"/wk","each":"Each week"},{"id":"fortnight","label":"Fortnightly","per":"/fortnight","each":"Each fortnight"}],"days":["Mon","Tue","Wed","Thu","Fri","Sat","Sun"],"spread":{"1":[1],"2":[1,3],"3":[0,2,4],"4":[0,1,3,4],"5":[0,1,2,3,4],"6":[0,1,2,3,4,5],"7":[0,1,2,3,4,5,6]},"consent":["I have read this plan and cost estimate, and my questions have been answered.","I understand these are estimated fees. A change to the plan is sent to me as a revised agreement to sign.","I agree that Kinfield Health may share this plan with my referring practitioner.","I understand I can ask to change or end the plan at any time."],"note":"These are estimated fees. Any insurance or other funding benefit you may be entitled to is not calculated here: please check with your insurer or funder.","types":[{"id":"home","label":"In-home recovery care","icon":"heart","kind":"In-home care agreement","template":"In-home care agreement","title":"{name}'s recovery care at home","photo":"home_walker","ref":"KH-2611","intro":"Your care plan after your hospital stay, set out visit by visit: personal care, a weekly physiotherapy visit and the fees, so you and Claire know what to expect before the first visit.","main":{"item":"Personal care visit · 1.5 h","note":"Showering, dressing and a meal set-up","unit":"visits","rate":102,"min":1,"max":7},"fixed":[{"item":"Physiotherapy home visit","note":"With Marcus Tan, falls-prevention exercises","qty":1,"unit":"visit","rate":135,"day":1}],"once":[{"item":"Initial home assessment","note":"Occupational therapist, home safety and equipment","qty":1,"unit":"visit","rate":240}],"options":[{"id":"meals","item":"Meal preparation · weekday lunches","note":"Prepared on the day","qty":5,"unit":"meals","rate":18,"repeat":true,"days":[0,1,2,3,4]},{"id":"nurse","item":"Nurse visit · wound care","note":"Registered nurse","qty":1,"unit":"visit","rate":145,"repeat":true,"days":[3]},{"id":"transport","item":"Transport to appointments","note":"Return trip, up to 20 km","qty":1,"unit":"trip","rate":55,"repeat":true,"days":[2]},{"id":"rails","item":"Grab rails supplied and fitted","note":"Bathroom, two rails","qty":1,"unit":"lot","rate":320}],"weeks":[4,6,8,12],"pw":3,"wk":6,"opts":["meals","nurse"],"signers":{"one":[["Rosalind Avery","Client"]],"two":[["Rosalind Avery","Client"],["Claire Avery","Daughter and representative"]]},"first_name":"Rosalind"},{"id":"physio","label":"Physio rehab program","icon":"week","kind":"Physiotherapy program","template":"Physiotherapy program","title":"{name}'s physiotherapy program","photo":"parallel_bars","ref":"KH-P-3318","intro":"Your program with Marcus Tan, set out session by session with the fees for each, as discussed at your assessment.","main":{"item":"Physiotherapy session · 45 min","note":"At our clinic","unit":"sessions","rate":115,"min":1,"max":3},"fixed":[],"once":[{"item":"Initial assessment & program plan","note":"60 minutes","qty":1,"unit":"session","rate":160}],"options":[{"id":"hydro","item":"Hydrotherapy session","note":"Pool session, 30 minutes","qty":1,"unit":"session","rate":70,"repeat":true,"days":[2]},{"id":"letter","item":"Progress letter to your doctor","note":"At the end of the program","qty":1,"unit":"letter","rate":85},{"id":"kit","item":"Home exercise equipment pack","note":"Bands, ball and a printed program","qty":1,"unit":"pack","rate":95}],"weeks":[6,8,10,12],"pw":2,"wk":8,"opts":["letter"],"signers":{"one":[["Daniel Osei","Patient"]],"two":[["Daniel Osei","Patient"],["Ama Osei","Representative"]]},"first_name":"Daniel"},{"id":"psych","label":"Psychology program","icon":"mind","kind":"Psychology treatment plan","template":"Psychology treatment plan","title":"{name}'s sessions with Ines Moreau","photo":"psych_session","ref":"KH-Y-1207","intro":"The sessions we agreed at your intake appointment, how often they are and what each one costs, so there are no surprises.","main":{"item":"Psychology session · 50 min","note":"In person or by video","unit":"sessions","rate":220,"min":1,"max":2},"fixed":[],"once":[{"item":"Intake session","note":"Already held, 26 Oct","qty":1,"unit":"session","rate":250}],"options":[{"id":"family","item":"Family session","note":"With a family member, once","qty":1,"unit":"session","rate":220},{"id":"report","item":"Written report for your referrer","note":"On request","qty":1,"unit":"report","rate":150}],"weeks":[6,10,12],"pw":1,"wk":10,"opts":[],"signers":{"one":[["Jordan Reyes","Client"]],"two":[["Jordan Reyes","Client, 16"],["Sarah Reyes","Parent and guardian"]]},"first_name":"Jordan"}],"biz":{"name":"Kinfield Health","initials":"KH"},"photos":{"home":"https://images.unsplash.com/photo-1773227055624-07b515ba87c5?w=560&h=280&fit=crop&auto=format&q=70","physio":"https://images.unsplash.com/photo-1709880754472-be89c13abc52?w=560&h=280&fit=crop&auto=format&q=70","psych":"https://images.unsplash.com/photo-1758273240360-76b908e7582a?w=560&h=280&fit=crop&auto=format&q=70"},"alts":{"home":"A care worker helps an older woman stand with her walking frame in a sitting room","physio":"A physiotherapist with a clipboard beside a client walking between parallel bars","psych":"A client and a psychologist talk in a light room with a sofa and a plant"}}
app.quote.cloud · new document from templateDemo · fictional data
Signed by 2 of 2 · paid on signing
From template · In-home care agreement
Rosalind's recovery care at home
Prepared for Rosalind Avery · Valid until Mon 9 Nov 2026
Your plan and estimated fees
6 weeks from Mon 2 Nov 2026
| Item | Qty | Rate | Amount |
|---|---|---|---|
| Once-off | |||
Initial home assessmentOccupational therapist, home safety and equipment |
1 visit | $240 | $240.00 |
| 1 lot | $320 | $320.00 | |
| Each week Repeating | |||
Personal care visit · 1.5 hShowering, dressing and a meal set-up |
3 visits | $102 | $306.00/wk |
Physiotherapy home visitWith Marcus Tan, falls-prevention exercises |
1 visit | $135 | $135.00/wk |
| 5 meals | $18 | $90.00/wk | |
| 1 visit | $145 | $145.00/wk | |
| 1 trip | $55 | $55.00/wk | |
- Once-off
- $240.00
- Each week
- $676.00/wk
- Over 6 weeks (estimate)
- $4,056.00
- Estimated total
- $4,296.00
- Paid on signing · once-off fees and first week
- $916.00
Provider's wordingThese are estimated fees. Any insurance or other funding benefit you may be entitled to is not calculated here: please check with your insurer or funder.
Later weeks are invoiced by Kinfield Health.
Your week
| Service | MonM | TueT | WedW | ThuT | FriF | SatS | SunS |
|---|---|---|---|---|---|---|---|
| Personal care visit | Yes | Yes | Yes | ||||
| Physiotherapy home visit | Yes | ||||||
| Meal preparation | Yes | Yes | Yes | Yes | Yes | ||
| Nurse visit | Yes |
Consent and acknowledgement
Locked wording · your team can't edit it
- I have read this plan and cost estimate, and my questions have been answered.
- I understand these are estimated fees. A change to the plan is sent to me as a revised agreement to sign.
- I agree that Kinfield Health may share this plan with my referring practitioner.
- I understand I can ask to change or end the plan at any time.
2 of 2 signed
- RARosalind AveryClient SignedWed 28 Oct
- CAClaire AveryDaughter and representative SignedWed 28 Oct
Paid on signing$916.00Paid via Stripe
Certificate of authenticity and audit trail attached
Activity
- Signed by Rosalind and ClaireCertificate of authenticity attached
- Paid on signing$916.00 via Stripe
- Client record updatedIn the practice system, through Zapier
A demo with a fictional provider: nothing is sent, stored or charged. In QuoteCloud your team creates the document from the template for that service, sets the quantity on the repeating price item and its period label, adds the recipients and sets the payment on signing (payments, Essentials and up). The patient ticks optional items and signs. Weekly or fortnightly charges are shown in the agreement; later periods are invoiced by you, not billed by QuoteCloud. No insurance or funding benefit is calculated: write that wording yourself. The acknowledgements use the Forms block (Business plan).
From referral to the first visit in five steps
What happens between a referral arriving and your team seeing a signed agreement with the first fees paid.
- 1
Intake
Send the intake form as a document, or let your website or booking system create it through the API or Zapier.
- 2
Plan and price
Start from your template for that service. Add the once-off fees and the weekly or fortnightly services from your fee schedule.
- 3
Options and expiry
Offer extras as optional rows and program choices as a single choice. Set an expiry date on the estimate.
- 4
Consent and signatures
The patient reads the plan, ticks your acknowledgements and signs; a guardian or representative signs in their own browser.
- 5
First fees and hand-off
A deposit or the first week is paid on signing. The signature can update your practice system through Zapier.
Five documents health providers send
Each from its own template, each with the blocks that kind of care needs. Sample documents from fictional providers.
Treatment plan & cost estimate
Mia's treatment plan and estimate
Prepared for Mia Kowalski · Prepared Mon 19 Oct 2026 · Valid until Wed 18 Nov 2026
Thank you for coming in, Mia. Here is the plan we discussed at your consultation, the options, what each one costs and what to expect on the day.
Choose your course
Your estimate
| Item | Qty | Rate | Amount |
|---|---|---|---|
| Consultation | $150 | ||
Consultation & skin assessmentHeld Mon 19 Oct
|
1 visit | $150 | $150.00 |
| Treatment | |||
Course of 6Laser skin treatment, 4 weeks apart
|
1 course | $1,890 | $1,890.00 |
| Extras Tick to add | |||
| 1 kit | $120 | $120.00 | |
| 1 visit | $90 | $90.00 | |
- Subtotal
- $2,160.00
- Tax (10%)
- $216.00
- Total
- $2,376.00
- Plus, monthly
- $0.00/mo
- Deposit to book your first treatment (30%)
- $712.80
Provider's wordingResults vary from person to person and are not guaranteed. No insurance or funding benefit is included in this estimate.
A treatment plan and cost estimate
Two course options as a single choice, the consultation and an aftercare kit as lines, tax, the deposit to book and an expiry date. The clinic's own wording says results vary and that no benefit is included.
- Options the patient chooses between
- A deposit to book, by card or PayPal
- Valid for 30 days, then it expires
Price tables and payments: Essentials and up
Treatment plans & cost estimatesYour care plan and estimated fees
6 weeks from Mon 2 Nov 2026
| Item | Qty | Rate | Amount |
|---|---|---|---|
| Once-off | |||
Initial home assessmentOccupational therapist, home safety and equipment
|
1 visit | $240 | $240.00 |
| Each week Repeating | |||
Personal care visit · 1.5 hShowering, dressing and a meal set-up
|
3 visits | $102 | $306.00/wk |
Physiotherapy home visitWith Marcus Tan, falls-prevention exercises
|
1 visit | $135 | $135.00/wk |
Nurse visit · wound careRegistered nurse
|
1 visit | $145 | $145.00/wk |
| 5 meals | $18 | $90.00/wk | |
| 1 trip | $55 | $55.00/wk | |
- Once-off
- $240.00
- Each week
- $676.00/wk
- Over 6 weeks (estimate)
- $4,056.00
- Estimated total
- $4,296.00
- Paid on signing · assessment and first week
- $916.00
Provider's wordingThese are estimated fees. Any insurance or other funding benefit you may be entitled to is not calculated here: please check with your insurer or funder.
Weeks 2 to 6 are invoiced each week by Kinfield Health.
Your week
6 weeks · Mon 2 Nov to Sun 13 Dec 2026
| Service | MonM | TueT | WedW | ThuT | FriF | SatS | SunS |
|---|---|---|---|---|---|---|---|
| Personal care8:00 am | Yes | Yes | Yes | ||||
| Physiotherapy10:30 am | Yes | ||||||
| Nurse visit9:00 am | Yes | ||||||
| Lunch prepared12:00 pm | Yes | Yes | Yes | Yes | Yes |
- Week 1
- Week 2
- Week 3
- Week 4
- Week 5
- Week 6
Visit times are confirmed by your care coordinator, Leah Whitford.
An in-home care agreement with weekly charges
Personal care three times a week, a physiotherapy home visit and a nurse visit as repeating charges per week, the initial home assessment once-off, and Rosalind's week laid out day by day.
- Repeating charges per week or fortnight
- Optional services the family ticks
- First week paid on signing
Choose your program
Your program fees
| Item | Qty | Rate | Amount |
|---|---|---|---|
| Assessment | $160 | ||
Initial assessment & program planHeld Tue 20 Oct, 60 minutes
|
1 session | $160 | $160.00 |
| Your program | |||
Twice a week8 weeks, at our clinic
|
1 program | $1,840 | $1,840.00 |
| Extras Tick to add | |||
| 1 letter | $85 | $85.00 | |
| 1 pack | $95 | $95.00 | |
- Subtotal
- $2,085.00
- Tax (0%)
- $0.00
- Total
- $2,085.00
- Plus, monthly
- $0.00/mo
- Paid on signing to book your sessions (25%)
- $521.25
Your sessions
8 weeks · from Tue 3 Nov 2026
| Service | MonM | TueT | WedW | ThuT | FriF | SatS | SunS |
|---|---|---|---|---|---|---|---|
| Physiotherapy7:30 am | Yes | Yes | |||||
| Hydrotherapy (pool option)6:00 pm | Yes |
- Week 1
- Week 2
- Week 3
- Week 4
- Week 5
- Week 6
- Week 7
- Week 8
Session times are booked by our reception team after you sign.
A physiotherapy program the patient chooses
Once a week, twice a week, or twice a week with hydrotherapy, as discussed at the assessment. Choose a program and the fees follow; the sessions are set out on their days.
- Program options as a single choice
- A doctor's letter as an optional extra
- Sessions per week on a schedule
Your supports and our rates
24 weeks from Mon 9 Nov 2026
| Item | Qty | Rate | Amount |
|---|---|---|---|
| Once-off | |||
Functional assessment & reportOccupational therapist
|
1 report | $580 | $580.00 |
| Each fortnight Repeating | |||
Community access supportSupport worker, per hour
|
8 hours | $67 | $536.00/fortnight |
Occupational therapy session60 minutes
|
1 session | $193 | $193.00/fortnight |
Social skills groupThursdays, 90 minutes
|
2 sessions | $45 | $90.00/fortnight |
- Once-off
- $580.00
- Each fortnight
- $819.00/fortnight
- Over 12 fortnights (estimate)
- $9,828.00
- Estimated total
- $10,408.00
Provider's wordingThese are our own rates, set out for your plan. Please check them against your plan budget: this agreement does not claim or calculate any funding.
We invoice each fortnight for the supports delivered.
Agreement and consent
Locked wording · your team can't edit it
Sam signs as the participant and Jenny as his plan nominee.
- We have read the supports, rates and schedule, and agree to them.
- We understand either of us can ask to review this agreement at any time.
- We agree Kinfield Health may share progress notes with Sam's support coordinator.
2 of 2 signed
- SW Sam WhitlockParticipant SignedThu 29 Oct, 4:02 pm
- JW Jenny WhitlockPlan nominee SignedThu 29 Oct, 4:09 pm
Certificate of authenticity and audit trail attached
A service agreement for a funded support plan
Supports and the provider's own rates per fortnight, an assessment once-off, and the agreement signed by the participant and their plan nominee. The wording says plainly that no funding is claimed or calculated.
- Supports per fortnight
- Participant and nominee both sign
- Locked agreement wording (Business)
The equipment
Electric hi-lo care bed with rails Wheeled walking frame (on request)
Hire and purchase
6 weeks' hire from Fri 30 Oct 2026
| Item | Qty | Rate | Amount |
|---|---|---|---|
| Once-off | |||
Delivery, set-up and collectionMetro area, two technicians
|
1 lot | $180 | $180.00 |
| 1 each | $149 | $149.00 | |
| Each week Repeating | |||
Electric hi-lo care bed · hireWith side rails and handset
|
1 bed | $65 | $65.00/wk |
Pressure-care mattress · hireAlternating air
|
1 each | $38 | $38.00/wk |
| 1 each | $9 | $9.00/wk | |
- Once-off
- $329.00
- Each week
- $112.00/wk
- Over 6 weeks (estimate)
- $672.00
- Estimated total
- $1,001.00
- Paid on signing · delivery, chair and first week
- $441.00
Provider's wordingPrices include tax. Any funding you may receive for equipment is not included or calculated here.
Hire after the first week is invoiced each week by Brightmoor until the equipment is collected.
A care bed on weekly hire, a chair to buy
Hire per week beside a once-off delivery and a shower chair to buy, product photos in the quote, and delivery plus the first week paid by PayPal on signing.
- Hire as a repeating charge
- Products to buy as once-off lines
- Brochures as PDF pages in the quote
Send your next care agreement from QuoteCloud
Free for 14 days, no credit card required. Send us your current estimate or agreement and we'll convert one template for you during the trial.
One care agreement, from intake to signature
Rosalind's six weeks of recovery care at home, read top to bottom. Every part is a QuoteCloud content block from the provider's care agreement template.
-
01
Open on the person, not the paperwork
A cover with Rosalind's name, the date it was prepared and the date the offer expires, from the provider's own care agreement template.
Healthcare templatesKH Kinfield HealthIn-home care agreement KH-2611 Sample · fictional providerIn-home care agreement
Rosalind's recovery care at home
Prepared for Rosalind Avery, with Claire Avery · Prepared Mon 26 Oct 2026 · Valid until Mon 9 Nov 2026
Your care plan after your hospital stay, set out visit by visit: personal care, a weekly physiotherapy visit and the fees, so you and Claire know what to expect before the first visit.
-
02 Family fills in
Intake answers, in the same document
Claire answered the intake questions in a Forms block before the plan was written: visit times, access and who else to talk to.
Forms block: Business plan
Intake & referral formsAbout you
FormForms block · completed before the plan was written
Preferred visit times Mornings, from 8:00 amGetting around at home Walks with a frame indoorsHome access Key safe by the side doorWho else should we talk to? Claire Avery (daughter), 555 0100Anything we should know before the first visit? Mum has a small dog, Biscuit, who is friendly.Completed by Claire Avery · Tue 27 Oct, 6:10 pm
-
03 Family chooses
Once-off fees and weekly charges, side by side
The home assessment once, then each service per week as a repeating charge. Claire ticked meal preparation; the weekly amount, the estimate over six weeks and the payment on signing follow.
Price tables and payments: Essentials and up
In-home care & service agreementsYour care plan and estimated fees
6 weeks from Mon 2 Nov 2026
Item Qty Rate Amount Once-off Initial home assessmentOccupational therapist, home safety and equipment1 visit $240 $240.00 Each week Repeating Personal care visit · 1.5 hShowering, dressing and a meal set-up3 visits $102 $306.00/wk Physiotherapy home visitWith Marcus Tan, falls-prevention exercises1 visit $135 $135.00/wk Nurse visit · wound careRegistered nurse1 visit $145 $145.00/wk 5 meals $18 $90.00/wk 1 trip $55 $55.00/wk - Once-off
- $240.00
- Each week
- $676.00/wk
- Over 6 weeks (estimate)
- $4,056.00
- Estimated total
- $4,296.00
- Paid on signing · assessment and first week
- $916.00
Provider's wordingThese are estimated fees. Any insurance or other funding benefit you may be entitled to is not calculated here: please check with your insurer or funder.
Weeks 2 to 6 are invoiced each week by Kinfield Health.
-
04
Her week, and the terms
Every visit on its day, then the agreement's start and expiry and the provider's terms. A change to the plan goes out as a revised agreement to sign; nothing renews by itself.
Your week
6 weeks · Mon 2 Nov to Sun 13 Dec 2026
Service MonM TueT WedW ThuT FriF SatS SunS Personal care8:00 am Yes Yes Yes Physiotherapy10:30 am Yes Nurse visit9:00 am Yes Lunch prepared12:00 pm Yes Yes Yes Yes Yes - Week 1
- Week 2
- Week 3
- Week 4
- Week 5
- Week 6
Visit times are confirmed by your care coordinator, Leah Whitford.
Agreement terms
StartsMon 2 Nov 20266 weeksExpiresSun 13 Dec 2026- Changes to your planIf your needs change, we send a revised agreement for you to read and sign before the change starts.
- Cancelling a visitPlease give us 24 hours' notice. Visits cancelled with less notice are charged at the visit rate.
- InvoicesYour first week is paid when you sign. Each later week is invoiced by Kinfield Health.
- Your informationHow we collect, use and store your information is set out in our privacy policy, which we gave you at intake.
- Ending the agreementEither of us can end this agreement with 7 days' notice. It ends on its expiry date unless we agree a new one.
-
05
Questions answered in the document
Claire asked for a later physio visit in a comment, and the coordinator replied in the same thread.
Notes from your care coordinator
- Leah Whitford is your care coordinator and first point of contact.
- Your first visit is the home assessment on Mon 2 Nov at 9:00 am.
- Please keep the walking frame by the bed for the first two weeks.
CAClaire AveryCould the Tuesday physio visit be after 10 am? Mum has a standing appointment first thing.
KHLeah, Kinfield HealthYes, Marcus will come at 10:30 on Tuesdays. I've updated your week.
-
06 Locked block
Consent, two signers and the first week
The provider's consent wording sits in a locked block. Rosalind and Claire each confirm and sign in their own browser, and the first week is paid through Stripe.
Content locking and the Forms block: Business plan
Consent, acknowledgements & multiple signersConsent and acknowledgement
Locked wording · your team can't edit it
Please read and confirm before signing. Rosalind signs as the client; Claire signs as her representative.
- I have read this plan and cost estimate, and my questions have been answered.
- I understand these are estimated fees. A change to the plan is sent to me as a revised agreement to sign.
- I agree that Kinfield Health may share this plan with my referring practitioner.
- I understand I can ask to change or end the plan at any time.
2 of 2 signed
- RA Rosalind AveryClient SignedWed 28 Oct, 10:12 am
- CA Claire AveryDaughter and representative SignedWed 28 Oct, 10:15 am
Paid on signing$916.00Paid via Stripe
Certificate of authenticity and audit trail attached
-
07
What your coordinator sees
Opened, an option added, signed by both, paid, and the client record updated in the practice system through Zapier.
Practice management & accounting integrationsActivity
- Intake form completedClaire Avery, in the document
- Agreement openedClaire Avery, from the email link
- Meal preparation added+$90.00 a week
- Signed by Rosalind and ClaireCertificate of authenticity attached
- First week paid$916.00 via Stripe
- Client record updatedIn the practice system, through Zapier
Sensitive information: what QuoteCloud confirms
Health providers handle personal and health information. These are the security facts QuoteCloud states; check them against your own privacy obligations before you start.
Hosted on AWS, encrypted
QuoteCloud is hosted on Amazon Web Services with 256-bit encryption. Personal information is stored on servers in the USA.
The right person signs
Add an optional one-time passcode, sent by email, that a signer enters before they can sign.
Signed, with a record
Every completed document carries a certificate of authenticity and an audit trail, with legally binding, eIDAS-compliant eSignatures.
Who can change what
Custom user roles and teams from Essentials; content locking keeps consent wording fixed on Business.
Built for the way each provider takes on a patient
The same estimates, agreements, consent and signatures, set up around the care you give.
In-home care & support providers
Care agreements with visits per week, a schedule the family can read, and the client and their representative both signing.
In-home care & service agreementsDisability & funded-plan supports
Service agreements with supports and your rates per fortnight, signed by the participant and their nominee.
Funded-plan service agreementsPhysio, OT & psychology
Programs with sessions per week, program options and the first sessions paid on signing.
Physio, OT & psychology programsPrivate clinics
Treatment plans and cost estimates for procedures and packages, with an expiry date and the patient's acknowledgements.
Treatment plans & cost estimatesCosmetic & elective treatment
Treatment options side by side, a deposit to book and your own wording on results and benefits.
Cosmetic & elective treatment quotesMedical equipment suppliers
Hire by the week or buy outright, delivery and set-up, with product brochures in the quote.
Medical equipment & mobility quotes
Connected to your practice system and accounts
Practice management, booking and intake systems connect through Zapier, Make or the QuoteCloud API from the Essentials plan. Xero, QuickBooks Online and Pipedrive are native on Business, or through Zapier.
- API QuoteCloud APIYour booking or intake system
- Za ZapierSigned agreements to your other apps
- Mk Make.comScenarios for your workflow
- PM Your practice systemThrough Zapier, Make or the API
-
XeroAccounting · Business or Zapier
-
QuickBooks OnlineAccounting · Business or Zapier
-
StripeFees paid on signing
-
PayPalFees paid on signing
-
HubSpotReferrers & enquiries · via Zapier
- Pd PipedriveCRM · Business
-
Google CalendarStart dates · Zapier
- Sl SlackAlerts for document updates, comments and actions
Healthcare templates, ready to make your own
Real QuoteCloud templates for treatment plans, home care contracts, medical services and pharmacy agreements. Open one, add your fees, consent wording and terms, and send.
-
Proposal template
Treatment Plan Proposal
Personalised care plans, treatment steps and costs, for clinics, dental and wellness providers.
View template
-
Contract template
Home Health Care Contract Template
Scope of services, caregiver duties, scheduling, payment and confidentiality, for home care providers and clients.
View template
-
Proposal template
Medical Services Proposal
Clinical services for private practices, consultants and providers working with hospitals.
View template
-
Agreement template
Pharmacy Services Agreement
A proposal and contract that sets out the responsibilities for pharmacy services.
View template
Everything a health provider sends
From the intake form to the signed agreement, for clinics, allied health, care providers and equipment suppliers.
-
In-home care & service agreementsWeekly or fortnightly services shown as repeating charges, a visit schedule, terms and an expiry date the family signs.Explore
-
Treatment plans & cost estimatesThe plan, every fee line, what the estimate does not include and an expiry date, accepted and signed before treatment starts.Explore
-
Consent, acknowledgements & multiple signersConsent wording in a locked block, acknowledgements ticked and every signer (patient, guardian or representative) signing online.Explore
- Physio, OT & psychology programsSessions per week, the program schedule and a choice of program options, with the first fees paid on signing.
- Cosmetic & elective treatment quotesTreatment options side by side, a deposit to book, an expiry date and the patient's acknowledgements in one quote.
- Medical equipment & mobility quotesHire by the week or buy outright, delivery and set-up, product brochures as PDF pages, signed and paid online.
- Funded-plan service agreementsSupports, rates and a schedule set out for a participant and their nominee, with the agreement signed by both.
- Intake & referral forms inside the documentThe Forms block collects intake details in the same document the client signs, and can start your next step through Zapier.
- Privacy, access & security for health providersWhat QuoteCloud confirms about hosting, encryption, signer verification and access control, and the questions to ask before you start.
- Practice management & accounting integrationsSigned agreements to your practice system through Zapier or the API, and accounting native on Business.
- Healthcare templatesReal QuoteCloud templates for treatment plans, home care contracts, medical services and pharmacy agreements.
- QuoteCloud implementation for health providersFee schedules loaded, estimate and agreement templates converted, consent wording locked and the team trained.
- FAQAnswers to the questions clinics, allied health, care providers and equipment suppliers ask most.
Healthcare quote and agreement questions, answered
What is QuoteCloud for healthcare providers?
QuoteCloud is quoting, agreement and eSignature software for private clinics, allied health practices, in-home care and support providers and medical equipment suppliers. You send treatment plans, cost estimates and care agreements from your own templates, with fees, weekly charges, consent wording and intake questions in one branded document that patients and their representatives sign online.
Can a care agreement show weekly or fortnightly charges?
Yes. Price tables support repeating price items with a period label beside once-off fees, so each service can show its charge per week or per fortnight and the estimate over the plan. The charges are shown in the agreement: QuoteCloud does not bill later periods, so you invoice them from your practice or accounting system. Price tables are on Essentials and above.
Does QuoteCloud calculate insurance or funding rebates?
No. QuoteCloud does not calculate insurance or other funding benefits. If you want to mention them, write your own wording in the estimate, for example that no benefit is included and the patient should check with their insurer or funder. Fees, options, totals, any tax and the deposit are what the price table calculates.
Can a patient and their guardian or representative both sign?
Yes. A document can have several signers, each with their own signature block, and nobody needs an account to sign. You can add an optional one-time passcode sent by email before signing. eSignatures are legally binding and eIDAS compliant, included on every plan, and each signed document has an audit trail and a certificate.
Can we take a deposit or the first week's fees on signing?
Yes, from the Essentials plan. Set the payment as a percentage or a fixed amount, such as the once-off fees plus the first week, and the patient pays through Stripe or PayPal straight after signing; the document is marked Paid. QuoteCloud does not set up instalments, recurring billing or payment reminders.
Can intake or consent questions be part of the document?
Yes, on the Business plan. The Forms block puts questions inside the document, next to the plan, fees and signature blocks, so answers and signatures come back together. A completed form can start a Zapier automation with the Form Submitted on Document trigger. Content locking, also on Business, keeps your consent wording from being edited.
Is QuoteCloud HIPAA compliant or certified for health records?
QuoteCloud does not state HIPAA compliance or a health-record certification. It states that it is hosted on Amazon Web Services with 256-bit encryption, that personal information is stored on servers in the USA, that it is GDPR compliant and that signed documents carry an audit trail. Check your own obligations and talk to QuoteCloud before storing health information.
Does QuoteCloud connect to our practice management software?
Through Zapier, Make or the QuoteCloud API, from the Essentials plan, where your practice or booking system has a connector or API. There is no native practice management integration. Xero, QuickBooks Online and Pipedrive are native on Business, or connect through Zapier. Documents created through the API or Zapier carry a per-document fee.
Can estimates expire?
Yes. Give each estimate or agreement an expiry date, and use the Expiring Soon filter to see the ones that lapse in the next few days, so you can follow up before the offer ends. A changed plan goes out as a revised version for the patient to sign again.
Is there a free trial?
Yes. QuoteCloud has a free plan and a 14-day free trial of Essentials or Business with no credit card required. During the trial QuoteCloud converts one of your existing templates for free on the Essentials, Business and Enterprise plans, and paid plans include a 45-minute training session.
Your next care agreement, signed and started
Free for 14 days. No credit card required.
QuoteCloud for health providersFree 14 days · no card
Start free trial