Four short sections: who you are, where you need coverage, and roughly what you can spend. You describe your services on the next step.
Your saved request
Saved, not yet submitted
Freely AI's current understanding
Recommendation status
Next steps
Update history
Picking up does not resubmit anything.
Have an NPI? Skip the typing.We prefill your name, credential, and licensed states. Entirely optional.
1 Your practice
2 Where do you need coverage? *
Pick every state you need a licensed provider in. Selections stay put while you keep searching.
🔍
Select at least one state where you need a licensed provider.
3 Rough monthly budget *
Pick the closest range. Retainers on Freely start at $500 per month. Once we know your services and oversight needs, Freely AI checks whether the range fits the scope and tells you if it looks tight.
$
TO
$
$500$7,750$15,000
per month for the medical director relationship
The monthly budget floor is $500.
4 How we reach you
✓We save your progress against this email as you go, so you can close this and come back without starting over.
Not verifiedOptional. Verifying secures this request to your number so our review team can reach you directly.
Requesting a code sends one SMS to the number above. Message and data rates may apply. This is a one time verification message, separate from the update preferences below.
Stay in the loop (optional)
Ready to continue
0%step 1 complete
Nothing has been routed and no provider has been contacted.
Next: your services and clinical model. That is what drives provider fit. Nothing is sent to a provider at this step.