Accessible patient forms for health centers.
Fixed · Checked · Documented
We update your public PDF forms and document the changes. Send a link for a free initial assessment. Straightforward text-document pilots are $95 for up to 25 pages; complex and interactive work is quoted separately.
Free check, no credit card required. No patient data. Fixed price agreed before any work.
The problem
PDFs can look right and still have barriers.
Missing labels or the wrong reading order make a form hard to use with a screen reader. HHS now requires accessible web content, including PDFs.
Fixing every form takes time your team may not have. We do it for you.
From our IRS W-9 test
What you get
Updated forms, with documented results.
Your wording stays the same. Any other change is agreed with you first. See a sample before and after →
Improved PDFs
Labeled fields, correct reading order, described images. Ready to upload.
A test report
What we checked, the results, and any limits, for your records.
No patient data
Blank public forms only. Never send completed forms or patient information.
Why Birch Page
Simple to work with.
- Price upfrontFixed quote before any work.
- Done for youWe handle the updates and checks. No software for your staff to learn.
- A report with every fileWhat we checked, and what we didn’t.
- Our promiseMissed a checklist item? Fixed free.
How it works
Three steps, all by email.
No portal, no meetings, no subscription.
Free check
We review up to three of your public PDFs (up to 30 pages in total) and send an initial assessment.
Fixed quote
You see the full price before any work starts.
Updated files
Within 5 business days after your approval and payment (or an accepted purchase order). One revision round included.
Pricing
Simple, fixed prices.
You get a fixed quote before any work starts.
Up to 25 pages of straightforward text-based PDFs, subject to file review. One pilot per organization.
- Agreed fixes and documented checks
- 5 business days after approval and payment (or an accepted purchase order)
- One revision round, plus free fixes for anything that misses our checklist
- Not included: interactive forms, scans and complex tables (quoted separately)
We handle the PDF updates and documented checks. No software for your staff to learn. Notices, applications, consent forms.
- Text-based PDFs
- Same checklist and report
- $95 minimum
Complex tables, scans and interactive forms.
- Scans rebuilt as real text
- Forms made fillable (with approval)
- Fixed quote per document
Every file is checked with automated validation, a word-for-word comparison and a page-by-page visual check. Hands-on screen-reader testing is not included unless quoted.
FAQ
Questions
Will our forms look different?
We preserve your content and aim to keep your layout. Anything that changes content or layout, like making a print-only form fillable, is agreed with you in advance.
How is the work done?
The work is AI-assisted: we use AI and automated tools to make the fixes, then check every file against our 10-point checklist, including a word-for-word comparison with your original and a page-by-page visual check.
What do you test, and what don’t you?
Every file gets PDF/UA-1 validation (veraPDF) and the 10-point checklist below. Hands-on testing with screen-reader software is not currently included by default, and each report says exactly which checks were done.
What’s on the 10-point checklist?
- PDF/UA-1 (ISO 14289-1) validation passes
- Title and language set
- Headings in logical order
- Reading order matches the page
- Images described or marked decorative
- Table headers defined
- Form fields labeled
- Text and numbers match the original
- Page-by-page visual comparison
- Structure export and annotation inventory attached (pdf.js)
Can’t our staff do this in Acrobat?
Yes, if they have the time and know-how: Acrobat Pro can tag documents and add form fields, but doing it well takes careful manual work for each file. We’re for teams that would rather hand it off at a fixed price. The free check is yours to keep either way.
Why do prices vary so much between providers?
It depends on what’s included. Fully automated tools are the cheapest; expert manual remediation with hands-on assistive-technology testing costs the most. We’re in between: AI-assisted fixes, automated validation, and a word-for-word and visual check of every file, with a report that says what wasn’t tested. That’s why we show our price and our limits up front.
Does this make us compliant?
We do not certify ADA or Section 504 compliance, or full WCAG conformance. Each report identifies the checks performed and their limitations.
Privacy
We use the details you send through the form or by email only to reply and provide the service. Our email, hosting, payment and AI providers process them as needed to do the work, and our server keeps basic logs of page visits. We don’t use tracking cookies, and we don’t sell your information. Please send blank documents only, never patient or personal information.
Who is behind Birch Page?
Birch Page is a small independent business run by [Owner name] in [City, State]. The fixes are made with AI and automated tools, and every file is checked against the checklist in its report. We’re not a certification body or a team of accessibility specialists, and we say exactly what was and wasn’t tested.
Can we pay by purchasing card or invoice?
Usually. We can send an invoice and complete standard vendor forms; card payment is available once your quote is accepted. Purchase orders with extra terms (insurance, indemnity, security) are reviewed before we accept them.
Find out which of your forms need fixing.
Tell us where your patient forms are. It’s free and there’s no obligation.
- We review up to three public PDFs (up to 30 pages in total)
- Within two business days you get a summary and a fixed quote
- No credit card required. Nothing is charged unless you accept the quote
Prefer email? hello@birchpage.com