Formulaires HIPAA en ligne

Un moyen simple et sécurisé de recueillir des informations sensibles sur les patients. Jotform fournit des formulaires conformes à la loi HIPAA et un accord d'association commerciale (BAA) afin que votre organisation puisse recueillir des informations sur la santé en toute sécurité.

Pensez à suivre les règles de la HIPAA pour vous assurer que votre traitement des informations de santé personnelles est conforme à la loi HIPAA.

Fonctionnalités clés des formulaires HIPAA Jotform

Create HIPAA Forms Effortlessly

Créez des formulaires HIPAA facilement

Créer un formulaire conforme à la loi HIPAA avec Jotform ne prend que quelques minutes et ne requiert aucune compétence technique. Chaque champ de question peut être ajouté en un seul clic.

Schedule Appointments

Planifiez des rendez-vous

Les patients peuvent facilement prendre rendez-vous en sélectionnant une date et/ou une heure sur votre formulaire. Grâce à notre intégration Google Agenda. Les rendez-vous réservés via votre formulaire seront automatiquement créés en tant qu'événements dans votre calendrier.

Collect Consent Forms

Recueillez les consentements

Get informed consent online. Customize your medical forms to describe your patients’ treatments, any possible risks, and their right to refuse treatment. Patients can submit their consent forms via electronic signature.

Collect Payments

Collectez des paiements

Les patients peuvent payer leurs factures en ligne. Avec Jotform, vous pouvez intégrer un formulaire de paiement directement sur votre site qui s'intègre à des dizaines de passerelles de paiement, comme Square, Stripe et Authorize.Net

Integrate with Helpful Systems

Intégrez des systèmes utiles

Jotform s'intègre de manière transparente avec d'autres logiciels conformes à la HIPAA, comme Google Sheets, pour organiser et rassembler facilement les données de vos patients et les rendre disponibles pour votre équipe.

Enable Mobile Responses

Autorisez les réponses sur mobile

Les formulaires que vous créez avec Jotform sont conçus pour être remplis sur n'importe quel smartphone, tablette ou ordinateur. Cela signifie que vos patients peuvent planifier des rendez-vous, mettre à jour leurs antécédents médicaux ou s'inscrire comme nouveau patient n'importe où.

Obtain Patient Signatures and Files

Collectez les dossiers et signatures des patients

Demandez à vos patients de signer le formulaire par voie électronique ou d'envoyer des documents importants ou des images directement via vos formulaires.

Securely Store Patient Data

Stockez les données médicales de manière sécurisée

Nos formulaires conformes HIPAA cryptent automatiquement les données des formulaires, garantissant la confidentialité des informations de santé de vos patients. Pour garantir la sécurité de vos données sensibles, vous bénéficierez également d'un Accord d'association commerciale signé), lequel crée une responsabilité contraignante et protège votre entreprise.

En savoir plus
Youtube Video Popup about HIPAA Compliant Forms

Collectez des données de santé sensibles avec Jotform

Lancez-vous dès maintenant avec nos modèles de formulaires HIPAA prêts à l'emploi

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FAQs about HIPAA

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  • Qu'est-ce que la HIPAA ?

    HIPAA stands for the Health and Insurance Portability and Accountability Act of 1996. This U.S. law maintains strict regulations over who has access to patient medical information and how that information may be shared.

    Under HIPAA, covered entities may use or disclose a patient’s protected health information (PHI) without a patient’s permission only under the following exceptions:

    • Treatment, healthcare operations, and payment purposes
    • Sharing information with the patient
    • Offering the opportunity to confirm or reject the disclosure of PHI
    • Using within a limited data set for public health, research, or healthcare operations
    • An unavoidable, limited incident that requires disclosure

    Sharing patient medical information may not require approval if the reason for sharing it meets one of 12 national priority purposes. These are rare and unique exceptions to a rule that is otherwise stringent in its requirements for protection of a patient’s personal, private medical information.

  • Why was HIPAA created?

    The original purpose of HIPAA was to make healthcare more efficient and secure while encouraging Americans to seek health coverage by reducing privacy risks. During the 1990s, many Americans were concerned about their medical information being shared over newly established electronic systems. With HIPAA, the U.S. government created a set of rules and regulations that protected patients’ medical information, reduced privacy concerns, and empowered medical professionals to use more efficient modern systems.

  • What are HIPAA forms?

    HIPAA forms include features that enable them to follow and adhere to the HIPAA Privacy Rule. These include forms for medical history, online appointment scheduling, new patient enrollment, and more. However, there are two HIPAA-friendly forms that medical professionals most commonly use:

    1. Privacy forms: Doctors’ offices typically give these forms to patients on their first visit. They detail how the office might share PHI with covered entities.
    2. Authorization forms: Healthcare providers often use these forms, also known as release forms, to acquire permission to share PHI with designated individuals.

    Using HIPAA forms helps your office protect any information a patient provides. These forms are vital for daily healthcare operations.

  • Who is covered by HIPAA?

    HIPAA is designed to protect personal health information, which means there are specific individuals and organizations that must adhere to the privacy rule. These subjects, also known as covered entities, include the following:

    • Healthcare providers
    • Health plans (e.g., health/dental/vision/prescription drug insurers, health maintenance organizations (HMOs), Medicare, Medicaid, long-term care insurers, employer-sponsored group health plans, and more)
    • Healthcare clearinghouses
    • Business associates to any of the above entities

    These covered entities are required to comply with HIPAA and may face legal consequences for failing to do so. Their use and distribution of PHI is strictly monitored, and they must use it only for its intended purposes, as laid out by HIPAA.

  • Who enforces HIPAA?

    The Office of Civil Rights (OCR) is responsible for enforcing HIPAA regulations. It began enforcing the HIPAA privacy rule in 2003. Since taking control of HIPAA regulations, the OCR has worked diligently to enact systematic changes in the American medical system that ensure the safety and security of patients’ civil rights.

  • Why is HIPAA compliance important?

    The main benefit of HIPAA is that it protects against the unauthorized use and disclosure of a person’s private medical information. This helps people control private and potentially sensitive information about their well-being and allows them to share such information with their doctors without having to worry about unauthorized disclosure.

    HIPAA also holds medical entities accountable for any potential breaches and enforces a patient’s right to privacy with significant repercussions. Most medical professionals wouldn’t share this private information regardless. However, repercussions for unwanted disclosure bring patients peace of mind and help medical professionals get the most accurate information possible.

  • What is protected health information (PHI)?

    Protected health information (PHI) is any information healthcare entities receive detailing preexisting, current, or upcoming physical or mental health concerns or conditions of a patient. It also includes healthcare and payment records, as well as invoices for healthcare provided to an individual.

  • Does Jotform’s WordPress plug-in help enable HIPAA compliance?

    Jotform’s WordPress plug-in helps enable HIPAA compliance, along with a Jotform plan that includes HIPAA features. By signing up for either the Gold or Enterprise plan, Jotform offers you access to HIPAA-friendly templates, integrations, and plug-ins that help ensure your business complies with HIPAA across every medium. We provide rigorous security measures to enable HIPAA compliance so your patients’ data stays protected.