A beautifully simple, HIPAA-compliant way to collect and organize healthcare information. Collect and manage healthcare information starting from $39 a
HIPAA compliance is as low as $39/month
Create HIPAA Forms Effortlessly
Building a HIPAA-compliant form with JotForm just takes a couple of minutes, and zero technical skill. Every question field can be added with a single
Enable Mobile Responses
The forms you create with JotForm are designed to be filled out on any smartphone, tablet or computer. This means your patients can schedule appointments,
update their medical history, or register as a new patient anywhere.
Obtain Patient Signatures and Files
Have your patients sign the form electronically or send important documentation or images directly through your forms.
Patients can pay bills online. With JotForm, you can embed a payment form directly onto your site that integrates with dozens of payment processors, like
Square, Stripe, and Authorize.Net
Integrate with Helpful Systems
JotForm seamlessly integrates with other HIPAA-compliant software, like Google Sheets, to make your collected patient data organized and easily accessible to
Collect Sensitive Healthcare Data with JotForm
Collecting patient information has been a headache. JotForm makes it easy for anyone in your organization to create a HIPAA-compliant form, plus the forms improve the patient
experience. Say goodbye to printed forms, clipboards, or pens.
With JotForm, you collect and centralize all of the medical information, patient feedback, employee applications,
and even payments into one place. Plus, their sensitive data remains private and secure.
Start Now with Ready-to-Use Form Templates
Questions & Answers
What happens to my existing form data?
When you add HIPAA to your account, your existing data will be automatically migrated to dedicated HIPAA-compliant servers. Your data will be
securely stored in our isolated HIPAA compliant system.
What is needed to enable HIPAA?
Our HIPAA compliance feature is available only with a Silver or Gold plan.
Are uploaded files also protected when I enable HIPAA?
All data is stored according to HIPAA standards.
If I upgrade to HIPAA, will I need to recreate my forms?
You will not need to make any changes to your existing forms. Your forms and form submission data are moved to our HIPAA servers automatically.
Are there any restrictions to enable HIPAA?
There are no restrictions to enable HIPAA on your account if you have Silver or Gold plan. If you prefer to have a signed BAA, please contact
What is the cost of a HIPAA Account?
HIPAA compliance is only available with our Silver or Gold plan. HIPAA is included in this cost and there is no additional fee.
Will I be able to create new HIPAA Compliant Forms?
Once you enable HIPAA Compliance in your account you'll be able to use JotForm's HIPAA Compliant Form Builder to create new HIPAA forms.
What is different about a HIPAA Form?
HIPAA forms look just like any other online form. You can still embed them into your web pages or send their URLs by email. Their main difference is
how they store and transfer data. JotForm's HIPAA Forms, encrypt the data right on your form and then transfer and store the data encrypted. The HIPAA form data is
stored in our HIPAA compliant servers which are separated from the Internet using multiple levels of protection and firewalls, and the encrypted data is stored in
How can I receive JotForm’s BAA (Business Associate Agreement)?
Once you enable HIPAA compliance on your account, JotForm will email a signed BAA.
Webinar: JotForm for Healthcare Providers
Our webinar, JotForm for Healthcare Providers, includes an overview of JotForm’s HIPAA compliance, two live healthcare form demos, Q&A session, and
Start securely collecting information with HIPAA compliant forms