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The easy way to build professional Secure Form for any website, with no code.
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 us in the app market of your favorite site builder or grab the embed code and install directly on your site.
See all platformsMore than 18 million POWR apps exist on websites worldwide. Get started with one-click signup. No contracts and no credit card required.
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