Cash-pay pediatric practices — Direct Primary Care for children, concierge pediatrics, and functional pediatric medicine — run on a fundamentally different model than insurance-billed pediatrics. Parents pay directly for their children's care. The EMR needs to handle family membership billing, guardian-completed intake, and multi-child accounts without an insurance claims workflow. Brooke is $99 a month flat.
Cash-pay pediatric practices collect payment from a parent or guardian — not from the patient — and often serve multiple children from the same family. The billing structure, the intake workflow, and the consent documentation all differ from a standard adult cash-pay practice. The EMR needs to reflect how pediatric care is delivered in practice.
A DPC pediatric practice that charges a monthly membership covers all children in the family under a single family rate. The billing model is a per-family recurring charge, not a per-child or per-visit claim. Brooke's card-on-file recurring billing handles family membership charges without a separate billing system or a manual invoice process for each child.
Every pediatric patient intake is completed by a parent or legal guardian. Medical history, developmental history, immunization records, allergy information, and consent forms are all signed by the guardian, not the child. Brooke's digital intake forms are sent to and completed by the guardian before the appointment, creating a complete pediatric patient profile before the visit begins.
A family with three children in a DPC pediatric practice needs all three children's profiles linked to the same family account, with separate clinical records for each child and a single billing relationship with the parent. Brooke manages separate patient profiles for each child while billing the parent account through one recurring charge.
Cash-pay pediatric practices do not submit claims, manage prior authorizations, or wait for insurance reimbursement. Revenue comes directly from the family at the time of membership enrollment or at the point of each visit. The software should match: direct billing, direct payment, and no claims overhead.
Cash-pay pediatric care spans several models, each with a direct-payment workflow and guardian-managed billing that Brooke handles without insurance infrastructure.
Monthly family membership covering all children's primary care without insurance. Recurring billing per family, guardian-completed intake, and visit documentation for each child in the family panel.
Premium direct-access pediatric care with smaller panels and longer appointments. Annual or monthly family membership, same-day access, and comprehensive well-child visits without insurance authorization requirements.
Cash-pay functional pediatrics addressing developmental concerns, chronic conditions, and childhood wellness through root-cause approaches including nutrition, gut health, and targeted supplementation.
Pediatric wellness practices that combine conventional and integrative approaches — nutrition counseling, supplement programs, and lifestyle interventions — billed directly to the family without insurance.
Multi-session developmental wellness programs for children. Series scheduling for recurring developmental visits, guardian intake forms at each stage, and package billing for multi-session programs.
Direct-pay well-child visits and vaccine-only clinics that charge families directly. Per-visit checkout, vaccine inventory tracking with lot number capture, and guardian consent documentation at each visit.
A cash-pay pediatric EMR needs to handle several workflow differences that set pediatric care apart from adult cash-pay practices.
Every pediatric patient intake, consent form, and visit authorization is completed by a parent or legal guardian — not the child. Brooke's intake forms capture guardian identity, relationship to the child, and authorization alongside the child's medical information. The guardian's digital signature on consent forms is stored in the child's chart alongside the clinical record.
A pediatric intake covers developmental milestones, growth history, birth history, immunization records, and behavioral and social history alongside standard medical history. Brooke's intake forms are customizable to capture the full pediatric patient profile before the first visit, creating a complete developmental baseline in the chart from enrollment.
A family with two children enrolled in a DPC pediatric practice needs one billing relationship and two separate clinical records. Brooke bills the family through a single card-on-file recurring charge while maintaining independent treatment records, intake histories, and visit documentation for each child in the family.
A cash-pay pediatric practice that administers vaccines, supplements, or medications in office tracks each product by lot number for liability protection. If a vaccine recall occurs, the practice needs to know which children received doses from the affected lot without searching through a separate log. Brooke captures lot numbers inside every treatment record automatically.
A child enrolled in a functional pediatric wellness program or a multi-session developmental intervention visits the practice on a defined schedule over weeks or months. Brooke's scheduling module handles series-based appointment sequencing with automated reminders sent to the parent or guardian before each session.
Direct Primary Care for children charges families a flat monthly or annual fee for unlimited primary care access for all enrolled children. The billing model removes the per-visit charge that deters families from seeking care for minor illness or routine concerns. Brooke handles this model through card-on-file recurring billing without a separate billing platform.
A family enrolls all children under one monthly membership fee charged to a card on file. Brooke charges the fee automatically each billing cycle. The family can schedule visits for any enrolled child without a per-visit payment transaction at each appointment. Additional services — vaccines, supplements, or procedures outside the membership — are billed separately at checkout.
A DPC pediatric family that purchases a vaccine series, a developmental program, or a supplement protocol beyond their membership pays at the point of care through Brooke's checkout. The transaction is linked to the child's record and the family account. Revenue from both membership fees and additional service checkout hits the practice account the same day.
Digital intake forms — medical and developmental history, immunization records, allergy information, and guardian consent — sent to and completed by the parent before each visit. The child's chart is complete before the appointment begins.
Card-on-file recurring charges for monthly or annual family memberships. One billing relationship per family covering multiple children. Same-day deposit of membership revenue without a manual invoice step.
Series scheduling for multi-session developmental programs, well-child visit scheduling across the pediatric age spectrum, and automated reminders sent to the parent or guardian before each appointment.
Separate treatment records for each child in the family, stored in individual patient profiles alongside intake history, developmental documentation, and visit notes — all accessible from the same family account.
Vaccines, supplements, and medications administered in the pediatric practice are tracked automatically with lot number capture per administration. Low-stock alerts before the practice runs out of high-use products.
Additional services beyond the family membership — vaccines, supplements, or in-office procedures — are billed at the point of care through Brooke's checkout. Card on file, tap-to-pay, and split payment all supported.
A cash-pay pediatric practice owner tracks family panel retention, revenue per family account, and service utilization to manage the practice and plan for growth.
What percentage of enrolled families renew their membership each cycle. A DPC pediatric practice that charges a monthly family membership depends on high panel retention for revenue stability. Tracking family retention rate identifies whether enrolled families are staying engaged with the practice and renewing.
How often enrolled families are using their membership to schedule visits. A pediatric DPC practice with low visit utilization among enrolled families may have members who are not engaging with the care they are paying for — a risk factor for non-renewal at the next billing cycle.
Which additional service categories — vaccines, supplements, developmental programs, or functional medicine visits — generate the most revenue beyond family membership fees. A pediatric practice considering adding a new service line uses this data to identify what the existing panel values most.
How much the average enrolled family generates per month in membership fees and additional services combined. Tracking this number tells the practice whether additional service offerings are increasing family account value or whether membership-only families represent the majority of the panel.
A solo pediatric practitioner and a three-provider DPC pediatrics group pay the same $99 per location. No per-provider fees, no per-family caps, and no appointment limits.
+ integrated payments · Unlimited providers · No contracts
A cash-pay pediatric practice that serves 100 families with two children each does not pay more than $99 a month. No per-child fees, no per-appointment caps, and no upgrade to unlock family billing.
No setup fee. No credit card required to start.
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$99 flat. Unlimited providers. Everything works. I don't know why anyone pays $400 a month for the same features wrapped in a terrible UI.
The best pediatric EMR for a cash-pay practice handles guardian-completed digital intake, family membership billing on card on file, multi-child patient profiles under a single family account, vaccine and supplement inventory with lot capture, and series scheduling for developmental programs — without an insurance billing layer. Brooke provides all of these at $99 a month flat with no per-provider fees and no contracts.
Yes. Brooke's card-on-file recurring billing handles monthly or annual family membership charges. A DPC pediatric practice that charges one family rate covering all children in the family runs that billing through Brooke's recurring payment system without a manual invoice step each cycle.
Yes. Brooke's digital intake forms are sent to and completed by the parent or guardian before the pediatric patient's appointment. Medical history, developmental history, immunization records, allergy information, and consent forms are all completed digitally by the guardian and stored in the child's chart before the visit begins.
Yes. Each child in a family has their own patient profile and treatment records in Brooke, while the family's billing relationship is managed through a single guardian account. The practice bills one family membership charge while maintaining independent clinical records for each child.
Yes. Lot number capture is built into every Brooke Treatment Record. Every vaccine, supplement, or medication administered in a cash-pay pediatric visit is documented with its lot number automatically inside the treatment record.
Brooke supports Direct Primary Care for children, concierge pediatrics, functional pediatric medicine, integrative pediatric wellness practices, pediatric developmental programs, and cash-pay well-child and vaccine clinics that collect payment directly from families.
No. Brooke charges $99 a month per location regardless of how many patients, providers, or staff are on the platform. A pediatric practice with 50 families and 120 enrolled children pays $99 a month, the same as a practice with 10 families.
Yes. Brooke's scheduling module handles series-based appointment sequencing with automated reminders sent to the parent or guardian before each session. Treatment records track each session in the developmental program against the child's full program plan.
$99 a month per location. Unlimited providers and staff included. No per-provider fees, no per-child fees, no appointment caps, no setup fee, and no contracts.
Yes. Functional pediatric practices that address developmental concerns, chronic conditions, and childhood wellness through nutritional, supplemental, and lifestyle interventions use Brooke's intake, treatment records, supplement inventory, and direct checkout for each visit.
Most cash-pay pediatric practices are up and running the same day. No implementation fees and no required training sessions. Brooke migrates patient records from any current system at no cost.
The best pediatric EMR handles family billing, guardian intake, and multi-child records without insurance complexity. Book a 15-minute demo or start your free trial today.
