Can I set up form for covid test results that is hippa compliance

  • deanna.smith
    Asked on January 10, 2022 at 9:56 PM

    I am wanting to purchase jot form to set up a hippa compliant way to enter and report out covid 19 rapid antigen test results.


    I see that I can purchase a silver membership which does have hippa compliance.


    I am wanting to be able to email and print out results and set up a fillable form form a ipad or smart phone.


    Deanna Smith

  • Christian JotForm Support
    Replied on January 11, 2022 at 4:23 AM

    Hi there,

    May we know if the form is solely for test results or also for people who will undergo the Covid testing? In yes, once the test related form is established, you can add a button on the submission table that you will click to send an email to the enduser to let them know of the results.

    1.) Create a hidden test results Single Choice field;

    1641892222 61dd497ee68ea Screen%20Shot%2 Screenshot 10

    2.) Create two autoresponder emails, one for when the result is Positive, and another one when Negative.

    1641892328 61dd49e897c6c Screen%20Shot%2 Screenshot 21

    3.) Create two Change Email Recipient conditional logic so the autoresponders emails don't get sent automatically.

    1641892450 61dd4a62f19fe Screen%20Shot%2 Screenshot 32

    4.) Once all above is set, create a Positive and Negative buttons on the submission table which you will click when the result is already available.

    1641892760 61dd4b981fbd8 results Screenshot 43

    So, users fill out the covid test form, once the results are available, you will click the corresponding button to the result on the submission table. Feel free to check/clone my demo form.

    Hope this helps. Should you need further assistance, please let us know. Thank you!

  • deanna.smith
    Replied on January 11, 2022 at 8:33 PM
    I would like to set up a covid test registration form that would auto
    populate to fill in the covid test result and email to the patient
    Deanna Smith
    ...
  • roneet
    Replied on January 11, 2022 at 9:29 PM

    Hello Deanna,

    Yes, you can generate test results. However, you need to disable the PHI fields to show them in an email field.

    https://www.jotform.com/help/518-How-to-set-PHI-fields-on-your-forms

    https://www.jotform.com/help/503-how-to-include-submissions-as-pdf-attachment-in-the-email-notifications/

    Let us know if you have any further queries.

    Thanks.