What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.

At JotForm, we want to make sure that you’re getting the online form builder help that you need. Our friendly customer support team is available 24/7.

We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you’d like help immediately, feel free to search for a similar question, or submit your question or concern.

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    How to Create a Secure Form to Collect Medical Data?

    Asked by Jenie on December 03, 2015 at 09:43 AM

    Hi -


    I am working with a dentist who is wanting me to develop a medical history form form that new dental clients can type in their medical history and have the form supmit for the Dentist to review. 


    I also wish to offer a way for clients to make payments online.  


    Could you call me and go over the details of how I can make this work for my client? 


    Thanks! Jenie Lahmann




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    JotForm Developer

    Answered by mert on December 03, 2015 at 11:28 AM

    Hi Jenie,

    Unfortunately, we don't have phone support; but we can answer all of your questions through here on Support Forum.


    For the secure form question,

    Recently, JotForm completely moved to secure SSL, so you don't need to worry about the secure connection anymore. You can find the detailed post about this feature from the link below:



    In addition, you can easily add a payment transaction feature to your form. Below, you can find the guide about how to do that:



    Also, here are currently supported services:


    If you have more question about payment forms or other things about JotForm, please don't hesitate to contact us.