Prospective Client

  • Profile Image
    Melisha Oakleaf-Wilson 
    Asked on June 24, 2020 at 10:24 AM

    Hello,

    I'm trying again - hoping I can get someone to answer some questions. We're looking for HIPAA-compliant forms to embed on landing pages so we can start doing some display advertising for our services. We need the following - please let me know if you do or do not offer these services or provide me with a phone number to someone who can help: 


    Must Haves
    ·         HIPAA compliant (or can integrate with HIPAA WP plug-in)
    ·         Custom form building
    ·         Analytics (basic)
    ·         CAPTCHA (or alternative)
    ·         Responses can be sent to select and multiple emails (not a single email)
    ·         Integrate (can embed in an email) with Constant Contact and potential new email provider
    ·         Integrates with payment vendor (Stripe)
    ·         Conditional logic
    ·         Conditional email sending for lead generation
    ·         Responsive design
    ·         Limit number of entries
    ·         Instant notifications
    ·         Entry management
    ·         Easy UX for development and user
     
    Desires
    ·         A/B testing
    ·         Surveys
    ·         Polls
    ·         Cart/form abandonment
    ·         Calculations
    ·         Schedule forms
    ·         Multi-page forms
    ·         Signatures

     
    Thanks so much!
  • Profile Image
    Basil_A
    Answered on June 24, 2020 at 10:58 AM

    Hi,

    Thank you for contacting us.

    HIPAA compliant (or can integrate with HIPAA WP plug-in)

    Yes, our forms are HIPAA compliant for our silver and gold plans. Please take a look here for more information:

    https://www.jotform.com/pricing/

    Email notifications to multiple email addresses can be sent and can be customized using conditional logic.

    The number of submissions can be limited and a captcha field can be added to the form.

    Conditional logic can be used in the form.

    Custom CSS code can be used to customize the form.

    We have widgets that contains most of the mentioned features. You can search our widgets right here:

    https://www.jotform.com/widgets/

    Feel free to try out our forms for free to take a further look at our widgets and UI.

    Please let us know if you have any further questions





     
  • Profile Image
    Melisha 
    Answered on June 24, 2020 at 01:30 PM

    Thank you so much!