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Gather patient data securely online with HIPAA-compliant forms from Jotform. Schedule appointments and collect payments, medical history, file uploads, and more from any device. Customize with no coding required.
Create custom HIPAA-compliant forms complete with a Business Associate Agreement (BAA) to gather patient data securely online. Jotform lets you embed HIPAA-compliant forms in your website, send notifications and reminder emails, connect with other HIPAA-compliant platforms, and use conditional logic to automate your workflow.
Gather medical data online while complying with HIPAA requirements.
Drag and drop to upload your logo, add or remove form fields, customize appointment booking time slots, and more.
Switch from messy paper forms to online forms to securely collect, store, and encrypt important patient information like consent forms and e-signatures.
Copy and paste an auto-generated embed code into your website to add your form as an iFrame, lightbox, or popup window.
Remind patients of upcoming appointments or send them their completed form submissions as PDFs with an email autoresponder.
Sync submissions to other platforms that also offer HIPAA compliance, such as Google Sheets, Google Drive, Dropbox, and Keap.
Improve the form-filling experience for your patients with conditional logic. You can show or hide fields, create custom Thank You pages, and personalize other form elements automatically.
Make your account HIPAA compliant by requesting a signed Business Associate Agreement (BAA) from Jotform.
With Jotform, you can collect and centralize all of your medical information, patient feedback, employee applications, and even payments into one place.
Demo Feature: Conditional Logic Demos
Encourage users to elaborate on their answers when collecting surveys or feedback — for example, if a user states that they were dissatisfied with something on an event satisfaction survey, you can show a text box to allow them to explain further.