Hipaa compliance forms

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    Asked on January 22, 2020 at 02:31 PM

    Our goal is to create a New Patient Information form with JotForm's hipaa compliance forms. The form would need to be in a writable format so the patient can fill it in - then email it back to us. 

    To be hippa compliant it would have to be sent to the patient & back to us in a secure email.

    Can you please tell me if this can be done, please describe the process, and what is the monthly cost for this?

    Thank you for your help, I look forward to hearing back.

    Beth Sowers - Clinic Manager - Mill Creek Foot & Ankle 

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    Answered on January 22, 2020 at 04:32 PM

    Hi Beth - You can enable HIPAA compliance on your account. Once done, it will be applied to all the forms on that account.

    Please note that this feature is available only on both Silver and Gold plans. Please see this link for the pricing: https://form.jotform.com/200186139144955 

    While here are some templates you may use: https://www.jotform.com/form-templates/search/patient%20information 

    However, no submission data will be included in the email that you'll receive. This is due to HIPAA security, though you will be notified every time a new submission comes in.

    The only way to view the submission data is through the form's submissions page.

    Please refer to this FAQs for more details about HIPAA compliance:


  • Profile Image
    Answered on January 23, 2020 at 07:50 PM
    Thank you , however Im not sure I was sent the correct pricing link. (See
    above) Please send me the pricing link.
    Please tell me how to set up an account for the Hippa compliant account &
    how to create custom patient registration forms.
    Thank you so much for your help.
    Beth :)
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    Answered on January 23, 2020 at 11:00 PM


    Here's the link for our pricing page: https://www.jotform.com/pricing/ 

    Here's a detailed guide on how you can upgrade account after subscription: How-to-upgrade-to-HIPAA-Compliance

    As for the patient registration form, you can check out our templates that are ready to use and you can modify or customize it according to your preferences: Patient Registration templates

    Here are also some guides to be familiar with JotForm's form builder: Create Forms

    I hope this helps. Let us know if you need further assistance.