Create custom forms that enable HIPAA compliance — complete with a Business Associate Agreement (BAA) — to gather patient data online. Jotform’s HIPAA features allow users to embed forms in their websites, connect with other HIPAA-friendly platforms, and use conditional logic to automate workflows.
Collect healthcare data with HIPAA compliance
Gather medical data online while complying with HIPAA requirements.
Customize forms to match your branding
Drag and drop to upload your logo, add or remove form fields, customize appointment booking time slots, and more.
Securely collect and store patient information
Switch from messy paper forms to online forms to securely collect, store, and encrypt important patient information like consent forms and e-signatures.
Embed forms in your site
Copy and paste an auto-generated embed code into your website to add your form as an iFrame, lightbox, or popup window.
Send notification and reminder emails
Remind patients of upcoming appointments or send them their completed form submissions as PDFs with an email autoresponder.
Connect with HIPAA-friendly integrations
Sync submissions to other platforms that also offer HIPAA features, such as Google Sheets, Google Drive, Dropbox, and Keap.
Automate your workflow with conditional logic
Improve the form-filling experience for your patients with conditional logic. You can show or hide fields, create custom Thank You pages, and personalize other form elements automatically.
Get a signed Business Associate Agreement (BAA)
Enable HIPAA compliance by requesting a signed Business Associate Agreement (BAA) from Jotform.
Kumpulkan Data Perawatan Kesehatan Sensitif dengan Jotform
With Jotform, you can collect and centralize all of your medical information, patient feedback, employee applications, and even payments into one place.
