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HIPAA-Compliant Online Forms

The easy and secure way to collect sensitive patient information.

JotForm provides HIPAA compliant forms and a business associate agreement (BAA) so your organization can collect health information safely and securely.

HIPAA compliance is as low as $39/month

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Key JotForm HIPAA Form Features

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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 click.

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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.

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Obtain Patient Signatures and Files

Have your patients sign the form electronically or send important documentation or images directly through your forms.

 
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Collect Payments

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

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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 your team.

Collect Sensitive Healthcare Data with JotForm

Start Now with Ready-to-Use Form Templates

Questions & Answers

  • What happens to my existing form data?
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    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?
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    Our HIPAA compliance feature is available only with a Silver or Gold plan.
  • Are uploaded files also protected when I enable HIPAA?
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    All data is stored according to HIPAA standards.
  • If I upgrade to HIPAA, will I need to recreate my forms?
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    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?
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    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 JotForm.
  • What is the cost of a HIPAA Account?
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    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?
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    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?
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    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 encrypted databases.
  • How can I receive JotForm’s BAA (Business Associate Agreement)?
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    Once you enable HIPAA compliance on your account, JotForm will email a signed BAA.

Webinar: JotForm for Healthcare Providers