Create HIPAA compliant Consent forms

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    Gabe_Van
    Asked on September 14, 2020 at 05:45 PM

    I work in a pharmacy and I am needing to create an immunization consent form and wondered if I can do that with your platform? I will have several questions to ask patients on intake to verify that they are eligible to receive a vaccination and then I need them to sign or give consent to receive their vaccination. I also need to make sure that these forms can be emailed or we can be alerted when they are filled out and that the platform is completely HIPAA secure. Lastly can we print the forms out for record retention on site?


    Thanks, Gabe 

  • Profile Image
    Mike_G
    Answered on September 14, 2020 at 09:26 PM

    I work in a pharmacy and I am needing to create an immunization consent form and wondered if I can do that with your platform?

    Yes, you can create consent forms with Jotform and I suggest that you check the templates that you can find on our templates page.

    https://www.jotform.com/form-templates/category/consent-forms

    I will have several questions to ask patients on intake to verify that they are eligible to receive a vaccination and then I need them to sign or give consent to receive their vaccination.

    You may collect your respondents' signature electronically within the form using our signature field/widgets.

    How-to-Add-an-E-Signature-to-Your-Form

    You may also add the Term&Conditions widget where you may include what the agreement covers. It will have a checkbox that your respondents will check if they agree.

    Adding-a-License-Agreement-to-a-Form

    I also need to make sure that these forms can be emailed or we can be alerted when they are filled out and that the platform is completely HIPAA secure.

    The HIPAA Compliance feature of an account is available on a certain plan subscription level.

    How-to-upgrade-to-HIPAA-Compliance

    However, I'm glad to inform you that we have an ongoing Coronavirus Responder Program that offers free, unlimited, HIPAA-compliant Jotform accounts to eligible first responders, healthcare workers, and government and nonprofit organizations that want to help their communities. You may find more about it on this page.

    https://www.jotform.com/corona-responder-program/

    https://www.jotform.com/corona-responder-program/faq/

    The application form can be found here.

    You can set up your form to send email alerts on every successful submission and you can set it up in a HIPAA compliant manner.

    Setting-Up-Email-Notifications

    Setting-Up-an-Autoresponder-Email

    How-to-use-Notification-and-AutoResponder-emails-in-HIPAA-accounts

    Lastly can we print the forms out for record retention on site?

    The Submissions page, Inbox page, and PDF Editor page of your form all have a print submission option.

    I suggest that after you create your form, make test submissions, and visit these pages to test the Print option.

    Feel free to let us know if you need any further assistance.