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  • Welcome to JotForm!

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

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    Welcome Back!

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

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    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.

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    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.

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    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.

    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.

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    Explore HIPAA

    Templates

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    FAQ

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    Pricing

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