HIPAA-Compliant Online Forms

Patient Forms provides HIPAA-compliant forms so your organization can collect health information safely and securely.

The easy and secure way to collect sensitive patient information.
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Custom HIPAA Paperless Forms

Now your patients can sign and complete their registration forms and medical history all from the convenience

We take your current paper forms and turn them into digital forms. Every Patient Forms customer has their own custom web address where all of your forms are stored. We will also create a custom COVID19 form for your practice.

Now your patients can sign and complete their registration forms and medical history all from the convenience

Have your patients sign the form electronically. Insurance card and license uploads can be added to forms. It will allow the patient to take a picture of the cards with their smartphone or tablet.

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Obtain Patient Signatures and Insurance Cards

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Streamline Check-In with our Paperless Forms

Now your patients can sign and complete their registration forms and medical history all from the convenience

Now your patients can sign and complete their registration forms and medical history all from the convenience of their smartphone, tablet, or computer. That allows every patients to submit their information before the visit with zero physical contact for your team.

Now your patients can sign and complete their registration forms and medical history all from the convenience

Our HIPAA-compliant forms automatically encrypt form data, guaranteeing the privacy of your patients health information.

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Securely Store Patient Data

HIPAA-Compliant Online Forms Pricing

Unlimited Form Submissions, No Contracts

$69.99 per month

$49.99 per month

Includes:
  • Unlimited Form Submissions
  • HIPAA-Compliant Security
  • Patient Signature
  • Insurance Card Capture
  • Up to 3 Forms
  • 10 GB of Storage
  • No Contracts
Includes:
  • Unlimited Covid19 Form Submissions
  • HIPAA-Compliant Security
  • Patient Signature
  • 10 GB of Storage
  • No Contracts
  • No Conversion Fee
**$250 one time digital conversion fee**
**$15 per form per month over 3**
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