Create HIPAA forms easily

Build a HIPAA-compliant form with JotForm in just a few minutes. Zero technical skill needed.

Collecting patient data securely

HIPAA-compliant forms mean your sensitive patient data is protected by the highest security and encryption standards.

Schedule Appointments

Arrange medical appointments, schedule calls, receive meeting requests, and arrange interview times through your online forms.

Increase Patient Convenience

New patient intake and consent forms can be completed and submitted online. This reduces office paperwork and patient wait times.

Mobile Friendly

The forms you create with JotForm can 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 from anywhere.

Accept Online Payments

Patients can pay 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.

Digital Signatures

Patients can sign forms electronically or send important documentation or images directly through your forms.

File Upload

Patients can upload documents or images through your forms. Plus, these files are stored according to HIPAA standards.

Video

Securely Manage Patient Data

Safely collect sensitive PHI online and store it in a HIPAA-compliant online database with JotForm Tables. Keep medical data secure and organize it in a spreadsheet, view scheduled appointments in a calendar, and see patient contact information at a glance with card view. Download your table as a PDF to print for your records, or manage your table’s privacy settings to safely share it with other medical staff.

Turn Form Data Into
Medical Reports

Gather sensitive patient information and feedback online with our HIPAA-compliant healthcare forms — then use JotForm Report Builder to generate live reports that update automatically and securely share your reports with other medical staff members instantly.

Automate Workflow

Organize your patient data. You can export form data as PDFs and automatically email them to your patients. Or seamlessly integrate with other HIPAA-compliant software, such as Google Sheets.

Integrations

JotForm offers integrations option to increase the performance of your online forms by connecting them with the tools and products your organization currently uses, such as Salesforce and Zapier.

Get Informed Consent Online

Create a custom medical consent form to explain your patient’s treatment and get consent with an e-signature. You can even convert each submission into a downloadable, printable PDF document!

Convert PDFs to Secure Online Forms

Improve the patient experience with JotForm Smart PDF Forms. Turn PDF medical release forms, consent forms, patient intake forms, and other healthcare PDF forms into secure online forms that are easy to fill out from any device. Receive responses instantly and share them as PDFs with patients or other medical staff.

JOTFORM HEALTH APP

HIPAA-Compliant Mobile App for Healthcare Services

Collect patient data and payments, manage appointments, and streamline your clinical workflow from any mobile device.

Explore HIPAA