Inserting a health information privacy to the form

I have to build a patient intake form. It must include basic patient information, the Mississippi hipaa health information privacy law or act, and a disclosure form that covers me as the holistic service provider. Is there anyway you can help me with this at all and it must be digital. Its for a class assignment, I have turned whats on file 5 times and each time my professor has kicked it back, so I didn't place the hipaa in the form can someone please help me with this. Thank you

My understanding is that you want to insert a Terms and Conditions or Privacy field in your form. I checked your form and I can see that you are using the "Text" field to insert a static content.

I suggest you try using one of these widgets:

1. Terms and Conditions widget
2. Short Scrollable Terms widget

You can also encrypt your forms here in JotForm. Please check this guide: Encrypted-Forms-and-How-to-Use-Them.

Lastly, I recommend you check this thread.

Hope that helps. If you have any questions, let us know. Thank you.