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  • Welcome to JotForm!

    Customize forms, save time & effort and collect online payments easily.

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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

    hipaa form

    Key JotForm HIPAA Form Features

    hipaa

    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.

    signature

    Obtain Patient Signatures and Files

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

     
    payment

    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.

    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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