HIPAA-Friendly Online Forms

The easy and secure way to collect sensitive patient information. Jotform provides forms that help you with HIPAA compliance. For our Covered Entity customers that have enabled HIPAA compliance features in their account, we also provide a business associate agreement (BAA) so your organization can collect health information safely and securely.

Key Jotform HIPAA Form Features

Jotform is loaded with powerful features to help you collect and manage sensitive patient information. Check out what makes Jotform a leader in forms you can use as part of your HIPAA compliance efforts.

Create HIPAA Forms Effortlessly

Building forms that enable HIPAA compliance with Jotform just takes a couple of minutes and zero technical skill. Every question field can be added with a single click.

Schedule Appointments

Patients can easily book appointments by selecting a date and/or time on your form. With our Google Calendar integration, appointments booked through your form will automatically be created as events in your calendar.

Collect Consent Forms

Get informed consent online. Customize your medical forms to describe your patients’ treatments, any possible risks, and their right to refuse treatment. Patients can submit their consent forms via electronic signature.

Collect Payments

Patients can pay their bills online. With Jotform, you can embed payment forms directly into your site and integrate them with payment processors like Square, Stripe, Authorize.net, and more.

Integrate with Helpful Systems

Jotform seamlessly integrates with other software that helps you with your efforts to comply with HIPAA, like Google Sheets, to make your collected patient data organized and easily accessible to your team.

Enable Mobile Responses

The forms you create with Jotform are designed to 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 anywhere.

Obtain Patient Signatures and Files

Have your patients sign your forms electronically and send important documentation or images directly through your forms.

Securely Store Patient Data

Our forms help you meet HIPAA compliance regulations by automatically encrypting form data to guarantee the privacy of your patients’ health information. To ensure your PHI stays secure, our Covered Entity customers that have enabled HIPAA compliance features in their account will also receive a signed Business Associate Agreement (BAA) that helps keep your business protected.

Features

Jotform is loaded with powerful features to help you collect and manage sensitive patient information. Check out what makes Jotform a leader in HIPAA-friendly forms.

Create HIPAA forms easily

Build a HIPAA-friendly form with Jotform in just a few minutes. Zero technical skill needed.

Collecting patient data securely

HIPAA-friendly 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.

Securely Manage Patient Data

Safely collect sensitive PHI online and store it in a HIPAA-friendly 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-friendly healthcare forms — then use Jotform Report Builder to generate live reports that update automatically. You can also 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-friendly 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!

Automate approvals with ease

Respond to requests for medical supplies, appointments, and more with Jotform Approvals. Safely collect sensitive patient data through your HIPAA-friendly forms and turn submissions into tasks in an automated approval flow. Send email notifications to approvers and patients automatically, and track requests from any device to make sure no patient is left behind.

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.