Can I get a quote on re-creating a HIPAA form?

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    Melissa Hurd 
    Asked on March 23, 2015 at 02:19 PM

    Hello,

     

    I need to find out the cost to re-create a HIPAA form for one of our clients.

     

    Please advise,

    Melissa Hurd

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    Mike
    Answered on March 23, 2015 at 04:08 PM

    Update (April 19, 2018) HIPAA is available for our Gold and Silver plans.

    https://www.jotform.com/hipaa/ 

    Thank you for your interest in our service.

    Our paid plans start at $9.95 USD per month. With a Premium plan you will be able to accept up to 1,000 secure form submissions per month. You can find information about our security measures by following the next link:

    Is JotForm HIPAA Compliant?

    We can help to create a simple form, but we actually do not provide design services. There are many freelancer professionals familiar with our service, so we would like to suggest https://www.odesk.com and https://www.elance.com for custom projects.

    Please feel free to contact us if you need any further assistance. We will be happy to help.

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    Rose
    Answered on April 13, 2018 at 10:06 AM

    Great news! JotForm now offers HIPAA compliance. This means users in the healthcare industry can use JotForm to collect sensitive patient information through consent and onboarding forms, medical history updates, online bill payments, and prescription refill requests. 

    HIPAA-compliant forms require a Gold pricing plan, which is only $99 a month or a Silver pricing plan, which is $39 a month. A business associate agreement (BAA) is also available upon request.

    For more information about our HIPAA-compliant forms, visit www.jotform.com/hipaa

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    tina
    Answered on April 19, 2018 at 03:11 AM

    Update: HIPAA is available for Silver plan as well.