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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.

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HIPAA compliance is as low as $39/month

hipaa form

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.

mobile

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

integration

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.

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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

Start Now with Ready-to-Use HIPAA Form Templates

Explore HIPAA

Features

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Templates

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FAQ

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