CMS-Compliant PTC Forms. Stored for 10 Years.

Get Permission to Contact in seconds — with e-signature, PDF delivery, and long-term audit-ready storage.

PTC Form on tablet

Features That Make Compliance Simple

Everything you need to stay compliant with CMS requirements

Long-Term PDF Storage
Forms are sealed, timestamped, and stored for 10 years.
Built-in E-Signature
No accounts. Just sign, submit, and done.
Agent-First Delivery
PDF copies sent instantly to you — no chasing clients or folders.

How It Works

Simple, secure, and compliant — every time

Step 1

You send a private link (PURL) to the client

Step 2

They complete & sign the PTC form

Step 3

A compliant PDF is generated and emailed

Step 4

It's stored securely — for a decade

PTC Form workflow
"This is what I wish I had during last AEP. No more Google Drive mess."
— Licensed Agent, Texas

Flat pricing. No contracts. Pay only for what you use.

Choose between single forms or save with bulk credit packages.

$1 per PTC form
Pay-as-you-go. No monthly fees.
  • E-signature included
  • Instant PDF delivery
  • 10-year secure storage
  • No login required for clients

Save with Bulk Credits

10 Credits
$9 ($0.90/form)
100 Credits
$75 ($0.75/form)
500 Credits
$350 ($0.70/form)