Three languages, one record
Every question and every answer choice exists in English, Spanish and Haitian Kreyòl. A mother can answer in Kreyòl and your staff still read "Haitian Creole" and "Yes" in English.
For pediatric Direct Primary Care clinics
Your new-patient paperwork, in the language each family reads best.
Send one link. Families fill in your forms on a phone in English, Spanish, Haitian Kreyòl or eight other languages. Your front desk reads every answer in English and files it in the chart.
No card needed. One clinic, unlimited staff.
The same form in every language a parent can choose. A parent can switch at any point and keep their answers.
How it works
Send a link
Text or email it the way you already reach families, or put one on your website. The link carries no names and stops working once the forms are in.
The family fills it in
On a phone, with no account and no app. They pick a language, save and come back later if the baby wakes up, and sign by typing their name.
Download and file
You get a notice that says only "forms are ready." Sign in, read the answers in English, and download a clean PDF for the chart.
Made for the way a DPC clinic runs
A membership agreement that knows Florida law
Tick your services, type your fees, pick a term. A checklist tracks every item section 624.27 requires, the required notice is locked in place, and you see what families will see before they do.
Insurance questions only if you want them
Forms skip the insurance card, the subscriber and the group number unless you ask for them. If your practice also takes insurance, one switch turns the questions on, and your agreement can say which services you bill to a plan.
Privacy your front desk does not have to think about
Each clinic's answers are locked with that clinic's own key. Email never carries patient information. Voto erases its copy on a schedule after you download, and keeps a record of who opened what.
Forms ready the day you sign up
- Patient registration
- Family membership enrollment
- Direct primary care membership agreement (Florida)
- Consent to treat a minor
- Health history
- Release of medical records
Still on paper?
Send us a blank copy of the forms you hand out today. We turn each one into a phone-friendly form that belongs to your clinic alone, with your wording kept as you wrote it.
Pricing
Per location, with unlimited providers and staff. Pay yearly and save 20%.
Essentials
$59 a month
- The full form library in three languages
- Typed e-signatures and practice countersignature
- PDF download for the chart
- Business associate agreement
- Your logo on every form Coming
Connected
$129 a month
- Everything in Essentials
- Text the link to a family from your clinic's name
- Families with several children in one sitting
- Membership agreement packs for more states Coming
- Spreadsheet and standards-based export Coming
Signature
$279 a month
- Everything in Connected
- Your own paper forms converted, in all three languages
- Priority support
- Help connecting to your EHR Coming
Built inside a working pediatric DPC practice
Voto started as the paperwork a real clinic needed and could not find: forms a Kreyòl-speaking grandmother could finish on her phone, an agreement that met Florida's rules, and nothing about insurance. The forms are written with a practicing pediatrician.
Request early access