HIPAA COMPLIANT WEB FORMS

Safeguard Patient Data Every Step of the Way

Easily create HIPAA-compliant forms and surveys while securely connecting to CRMs and EHR systems

woman with stethoscope on computer filling out a secure form

OUT OF THE BOX

Quick start templates

Leverage a library of pre-built form templates and workflows to quickly build impactful, HIPAA compliant forms for your organization

HIPAA release form
Doctor referral form
Medical history form
Patient intake form

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Quickly build forms

With a drag-and-drop form builder, building forms has never been easier. The user-friendly interface with convenient features such as themes and templates, empowers users to easily build, customize, and integrate forms.

Automate workflows

Once a form is complete, automate the next steps of the data collection journey. Send notifications to appropriate departments, request approvals, and redirect patients to the next step.

Save and resume

Intake forms can be exhausting. With ‘Save and Resume‘, you allow patients to return to forms at their convenience and complete them at their own pace. No data is left behind.

Control access to sensitive data

Advanced security features such as masking and encrypting of sensitive fields safeguard Personally Identifiable Information (PII), Protected Health Information (PHI), or any other sensitive data.

Build brand trust

With customizable, branded forms that embed easily into your website, respondents can trust that they’re providing information to a reliable source.

Collect payments

Seamlessly collect co-pays, donations, or any required fees with a robust, yet intuitive, integration to payment tools you already use – Stripe, PayPal, and more.

What is FormAssembly’s dedication to HIPAA compliance?

FormAssembly is committed to complying with HIPAA in all global operations as well as developing our products to help customers comply with applicable HIPAA requirements. FormAssembly also adheres to NIST, ISO, PCI, and HITECH best practices.

How do you handle sensitive data management?

Along with HIPAA compliant forms, workflows, and data collection, admins have granular control over PHI. With sensitive data management, you have access control over who can view data, can unlock reports containing sensitive data for a specified amount of time before expiring, and manage a log of users who have sensitive data access, and more.

Do you provide encryption at rest and in transit?

FormAssembly uses several methods to encrypt data during transit and when stored (at rest). These include strong cryptography and encryption techniques such as TLS 1.2 to safeguard confidential data during transmission over public networks.

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