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.
JotForm is loaded with powerful features to help you collect and manage sensitive patient information. Check out what makes JotForm a leader in HIPAA-compliant forms.
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.
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 your team.
Securely Store Patient Data
Our HIPAA-compliant forms automatically encrypt form data, guaranteeing the privacy of your patients' health information. To ensure your PHI stays secure, you'll also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.
Collect Sensitive Healthcare Data with JotForm HIPAA
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 HIPAA Form Templates
Save time by getting started with a professional JotForm healthcare form template. They are fully customizable and easy to edit!