HIPAA Account: What kind of information we can collect with HIPAA forms?

  • Stacy Carleton
    Asked on March 18, 2021 at 9:15 AM

    We need HIPPA compliant forms for clients here at our Design Firm.

    Here are the questions we have, and please let us know what package is recommended.

    Can we capture Social Security Number, Drivers License info, and do you have a signature option?

    Can we manage multiple people under one account since we are a design firm?

    Do you have a white label program where it can be branded to us?

  • Zahra_S
    Replied on March 18, 2021 at 10:21 AM

    Hi there!

    Thank you for reaching out to us.

    Can we capture Social Security Number, Drivers License info, and do you have a signature option?

    Yes, you can collect this information, and you can use our Signature field to collect e-signatures. This guide will help you: https://www.jotform.com/help/433-how-to-add-an-e-signature-to-your-form.

    I have forward your other question to a separate support ticket. We will respond there soon: https://www.jotform.com/answers/2977023.

    Feel free to contact us if you need further assistance.

  • Stacy Carleton
    Replied on March 18, 2021 at 10:22 AM
    Hello ,
    We have received your email request! Someone from our Forty Second Street,
    Inc. team will get back with you shortly.
    Our office is open Monday thru Friday, 9am - 5pm.
    Sincerely,
    Alyssa Trent
    Office Manager/Sales Assistant
    *Forty Second Street, Inc.*
    865-382-7007
    42st.com
    122 McCammon Ave.
    Maryville, TN 37804
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