Telehealth Platform Billing Update Form
About this free form template

Streamline Your Telehealth Platform Billing with Paperform

Managing a telehealth practice means juggling multiple providers, specialty services, and evolving patient needs. When your billing information changes or your practice grows, you need a simple way to update payment methods, adjust provider licenses, and modify your subscription—without disrupting your healthcare services.

This Telehealth Platform Billing Update Form template is designed specifically for healthcare technology platforms, medical practices using telehealth software, and healthcare administrators who need a professional, secure way to manage billing changes. Whether you're scaling up your provider count, adding prescription management capabilities, or simply updating your credit card details, this form handles it all in one streamlined experience.

Built for Healthcare Operations

Healthcare administrators, practice managers, and medical billing specialists can use this form to process billing updates efficiently. The template includes conditional logic to show relevant fields based on what's being updated, calculations for prorated charges, and clear confirmation messaging that keeps your team informed.

With Paperform's payment integrations, you can securely process payment method updates through Stripe, PayPal, or Square without storing sensitive card details. The form automatically calculates pricing adjustments when you add or remove provider licenses, so there's no spreadsheet math required.

Automate Post-Submission Workflows with Stepper

Once a billing update is submitted, you can connect this form to Stepper to automate what happens next. Send the update to your billing system, notify your finance team via Slack, update your CRM or practice management software, and trigger confirmation emails—all without manual intervention. For telehealth platforms managing hundreds of practices, this automation saves hours of administrative work and ensures nothing falls through the cracks.

Secure, Professional, and On-Brand

Paperform is SOC 2 Type II compliant with robust security controls, making it suitable for handling billing information in healthcare contexts. While Paperform is not HIPAA compliant and shouldn't be used for protected health information (PHI), it's perfectly suited for billing and subscription management workflows. You can customize the form to match your telehealth platform's branding, embed it directly into your customer portal, or host it on your own domain for a seamless experience.

Whether you're a SaaS telehealth platform serving multiple practices or a growing medical group managing your own billing, this template gives you a professional foundation to keep your subscription and payment information current—without the back-and-forth emails and manual processes.

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avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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