Custom Package Signup

Splendid! You've Chosen Our Custom Package.

To process your selection, please fill out your billing info and click next and we will follow up with you in the next 24 hrs. to customize a package for you and assist in finalizing your account setup.

Primary Contact Information ( Required )

Please include a primary contact for your hotline.
  • - Select an Industry -
  • Healthcare
  • Finance
  • Education
  • Government
  • General
  • Corporate
  • Other

Secondary Contact Information ( Optional )

Please include a secondary contact incase of emergency or if the primary contact is unavailable.

Hotline Options

Default options are selected, please change any options you may require.
  • - Select Number of CM Portal Users -
  • 1 FREE
  • 2 (+$600)
  • 4 (+$1,200)
  • 6 (+$1,800)
Will you need to transfer a currently in use hotline?
In addition to taking phone reports, will you require a method for reports to be taken online? (Online Reporting )
Will you require a Business Associate Agreement (BAA)?
Will you require an annual security audit of our services?

Awesome! You've Chosen Our Custom Package.

To process your selection, please fill out your billing info and click continue and we will follow up with you in the next 24 hrs. to customize a package for you and assist in finalizing your account setup.

Set up Your Payment

Fantastic! Looks like you're all set. Please click continue to setup up your type of payment. The $1 Custom Package Charge is for account set up proposes and will be applied towards your final Custom Package Amount.
Custom Package 1:
Amount
$0.00
Questions?  Call +1.800.617.0415