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.
Collect healthcare data with HIPAA compliance
Gather medical data online while complying with HIPAA requirements.
Customize forms to match your branding
Drag and drop to upload your logo, add or remove form fields, customize appointment booking time slots, and more.
Build secure web forms with Jotform. Every form created with our Form Builder automatically has a 256-bit SSL (Secure Sockets Layer) connection enabled, so all form submissions are protected according to the industry standard.