A HIPAA confidentiality agreement is a contract between parties where one, usually a healthcare facility, intends to make sure that its personnel, employees, and staff have full knowledge and responsibility in using and securing the sensitive and medical information of its patients in compliance to the required rules and standards set by the Health Insurance Portability and Accountability Act (HIPAA). Create an online HIPAA Confidentiality Agreement in seconds with Jotform Sign — then securely gather e-signatures from any device.
Need to make changes to this HIPAA Confidentiality Agreement? No problem! Using Jotform’s intuitive online builder, you can easily add your medical practice’s logo, change fonts and colors, add or edit form fields, and more. Share your custom agreement with patients via email or by embedding it in your website. Once both parties have signed, a finalized PDF document will be sent to your inbox — ready to share, download, and print for your records.
Related templates
Short Term Rental Agreement
Let tenants fill out and sign rental agreements on any device. Easy to customize. Great for independent landlords. Convert into PDFs upon completion.
Consignment Agreement Template
Build your Consignment Agreement in just minutes using this Consignment Agreement PDF Template. Copy this template to your Jotform account and start filling up the form. Upon submission, you have your PDF document immediately!
Sponsorship Proposal Template
This sponsorship proposal template helps you attract and convince your leads to be part of your event as a sponsor. It contains a front page, cover letter for the leads, company overview, information about the event and terms.
Simple One Page Lease Agreement Template
Let tenants sign your property lease agreements with Jotform Sign. Great for landlords or real estate agents. Fill out and sign in seconds. Easy to customize.
Brand Ambassador Contract Template
Hiring a brand ambassador to promote your product or service? Use Jotform’s brand ambassador contract template to outline the partnership terms.
Sales Agreement Template
Create a sales agreement contract in seconds.. Collect and manage signatures from one convenient place. Easy to customize. No coding needed.