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Secure Form
Create a one-of-a-kind Secure Form in minutes
with no design experience or coding needed.
No credit card required
4.6
(5,164)
4.5
(17,321)
4.6
(343)
4.4
(130)
4.8
(238)
Creating quality HIPAA forms saves you time collecting patient information and responding to inquiries and messages.
With well-designed, multi-step surveys with conditional logic that are easier for people to finish than their morning coffee.
Avoid hefty fines and time-consuming audits with a fully compliant online HIPAA form.
Lisa Hardy
@ Good World GraphicsSupport
Global customers
Five star reviews
Platforms
All data collected through the form is encrypted during transmission and stored.
Only authorized personnel can access the data.
Records are maintained of who accesses the data and when.
Form responses dashboard is encrypted, secure, and only accessible by the account administrator.
Choose dropdowns, multiple-choice, star ratings, file uploads, emoji feedback, picture choice, and more.
Great for surveys or long forms to make them more user-friendly.
Redirect to a thank you page, show a custom message, or hide the form.
Show or hide specific questions based on someone’s previous response.
Set up email notifications for new form submissions.
Get an instant notification anytime someone completes one of your HIPAA forms.
Set up secure conditional autoresponder emails for your customers that send after they submit your HIPAA form.
Find our {{app_name}} in any app market, site builder, or just grab the automated embed code and install it directly!
See all platformsNearly 20 million POWR apps exist on websites in every country on Earth. One-click signup. No contracts and no credit card required.
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