HIPAA Compliant Web Forms

HIPAA compliance can be confusing and stressful – but it doesn’t have to be. Get easy to use HIPAA compliant web forms that securely collect patient health information (PHI). Only $100 a month!

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Worry Free Compliance

One of the biggest challenges that all health organizations face is figuring out how to meet the demands of today’s online patients without putting their sensitive information at risk. HIPAA Web Forms is built to provide you with everything you need to securely capture patient health information.

No IT Required

With HIPAA Web Forms, you can create new online forms for any use case without a major cost investment or need for a dedicated in-house IT team. Simply copy-and-paste the code from your customizable form onto your website, and you’re done!

Total Control

HIPAA Web Forms gives you total control over how the forms are set up, what data patients can submit, who can access the data, and how long information is stored. All backed with military-grade encryption and iron-clad security that follows HIPAA compliance best practices.

HIPAA Web Forms is Affordable

HIPAA Web Forms was designed to be affordable for all organizations. We offer a single $99 a month package that includes an unlimited number of forms and the following:

  • Ready-to-use and customizable forms
  • Drag and drop form fields
  • 30+ different information entry options
  • Simple embed code
  • Military grade secure data storage
  • BAA security agreement
  • Mobile accessibility
  • and more! 
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Why HIPAA Web Forms

Easy to use

No IT needed to get your web forms HIPAA-secured.

Secure storage

Our tool is backed with military-grade encryption to keep your patient health information secure.

Accessible from anywhere

Don’t head into the office to check on information you need.

Scheduled data wiping

You choose how long patient health information is stored so that you have total control over what’s being saved.

Plug-and-play code

We aren’t kidding when we say that you won’t need an IT team. Just copy and paste the code and you’re done!

Ready-to-use forms

As soon as you set up your account, you’ll have access to ready-to-use forms.

Over 30 fields available

Our HIPAA compliant forms are just as customizable as they are secure.

Drag and drop form fields

When you want to change or move something on a form, you’ll be able to drag and drop fields easily.

Completely customizable forms

Everything is customizable with us. You can change fields, allow patients to upload documents, and even accept payments!

Get Compliant Forms Now

For just $100 a month, you can have easy to use HIPAA compliant online forms. Sign-up now and you can start using compliant forms on your website today.

Try It Out

Download HIPAA Checklist

Not ready to secure your web forms yet? No worries! Learn everything you need to know about how you should be collecting patient information safely.

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