Make a Free Custom Hipaa Form for Any Website

Create a one-of-a-kind Hipaa Form in minutes
with no design experience or coding needed.

No credit card required

Shopify's logo

Shopify

4.6 stars rating with 5,164 reviews

4.6

(5,164)

Wix's logo

Wix

4.5 stars rating with 17,321 reviews

4.5

(17,321)

Google's logo

Google

4.6 stars rating with 343 reviews

4.6

(343)

G2's logo

G2

4.4 stars rating with 130 reviews

4.4

(130)

Product Hunt's logo

Product Hunt

4.8 stars rating with 238 reviews

4.8

(238)

What POWR Hipaa Form does to help you

Patient Intake 3x Faster

Creating quality HIPAA forms saves you time collecting patient information and responding to inquiries and messages.

Boost Survey Results up to 300%

With well-designed, multi-step surveys with conditional logic that are easier for people to finish than their morning coffee.

Stay HIPAA Compliant

Avoid hefty fines and time-consuming audits with a fully compliant online HIPAA form.

"POWR has enhanced my website and makes my life easier in the process, which let's face it, is what we all need more of in our lives!”

Lisa Hardy's profile picture

Lisa Hardy

@ Good World Graphics

24/7

Support

7M+

Global customers

50K

Five star reviews

1000+

Platforms

Hipaa Form customization in minutes, not hours

    HIPAA Compliance

  • Data Encryption

    All data collected through the form is encrypted during transmission and stored.

  • Access Controls

    Only authorized personnel can access the data.

  • Audit Logs

    Records are maintained of who accesses the data and when.

  • Secure Dashboard

    Form responses dashboard is encrypted, secure, and only accessible by the account administrator.

    Advanced Customization

  • Rich Form Elements

    Choose dropdowns, multiple-choice, star ratings, file uploads, emoji feedback, picture choice, and more.

  • Multi-Page Forms

    Great for surveys or long forms to make them more user-friendly.

  • Post-Submission Options

    Redirect to a thank you page, show a custom message, or hide the form.

  • Conditional Logic

    Show or hide specific questions based on someone’s previous response.

    Notifications

  • Email Notifications‎

    Set up email notifications for new form submissions.

  • Instant Submission Alerts

    Get an instant notification anytime someone completes one of your HIPAA forms.

  • Autoresponder Emails

    Set up secure conditional autoresponder emails for your customers that send after they submit your HIPAA form.

12+ million websites improved (and counting)

rating five stars

Very responsive customer support. Richcarde M. walked me through step by step on a new method for page updates. Saved me hours of tinkering.

Map

Good Filling

rating five stars

Working great for years and the tech support is great!

Form Builder

OMNI12

rating five stars

Brilliant support from your team. Very happy with the product and your quick support.

Popup

Bex's Coffee

rating five stars

Every plugin has a similar look and feel, so the learning curve for our staff is minimal as new ones are introduced.

Contact Us Form

AskDr.Ganz.com

rating five stars

Awesome, quick, and easy! Thank you for making my site look legit!

Instagram Feed

Woodies Drumsticks

rating five stars

Outstanding customer service I love the app easy to work with . But I love the fact I can get an actual human to help me.

Email Signup

JetLife Travel

rating five stars

Absolutely loved the experience with the POWR! Our first time using it, we reached out through their live chat feature, and they responded in just a minute.

Comments

Black Forest

rating five stars

Just installed the app. Looks great and works perfectly

Customer Survey

La Mome Bijou

rating five stars

Looks great and works perfectly.

Registration Form

Nurture Your Pet

rating five stars

Got all the help I needed to showcase my work with PowerPoint image slider.

Image Slider

OnlyFridays

When we said any website, we meant it

Find our Hipaa Form in any app market, site builder, or just grab the automated embed code and install it directly!

Shopify logoSquarespace logoWordpress logoWix logoWeebly logoJimdo logoWoocommerce logoEcwid logoBigcommerce logoBig Cartel logoWebydo logoHtml logo

Frequently Asked Questions

Learn more about HIPAA and POWR Forms to increase your patient satisfaction:

What does HIPAA stand for?

What is a HIPAA form?

What makes a form HIPAA compliant?

How is the data collected from patients during a form submission protected?

What are the different types of forms that must be HIPAA compliant?

What other types of apps does POWR have?

What types of businesses must be HIPAA compliant?

Join the worldwide POWR Hero family today!

Nearly 20 million POWR apps exist on websites in every country on Earth. One-click signup. No contracts and no credit card required.