Use Jotform to gather patient data securely with online forms that enable HIPAA compliance. Schedule appointments and collect payments, medical history, file uploads, and more from any device. Customize with no coding required.
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, send notifications and reminder emails, 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.
Build secure web forms with Jotform. Every form created with our Form Builder automatically has a 256-bit SSL (Secure Sockets Layer) connection enabled, so all form submissions are protected according to the industry standard.