HIPAA Compliant Forms, Made Very Easy
Because your job is saving lives, not building medical forms




You want to ensure the privacy of your patients’ data and create a positive experience for them whenever they come into your practice or hospital. Providing HIPAA compliant forms are an important part of any patient/doctor experience.
You shouldn’t have to waste hours trying to build HIPAA compliant forms. It should be easy — as easy as 1,2,3.
And that’s where 123 Form Builder comes into the picture.
Build HIPAA Compliant Online Forms.
In Minutes
123 Form Builder is a drag-and-drop HIPAA compliant form builder ready to provide you with any kind of online form or workflow your medical practice, hospital, or healthcare business needs.
Really, any kind. And in minutes.
It takes three simple steps to build HIPAA privacy forms in 123 Form Builder:

Grab a template or build your own form from scratch.

Edit and customize it to fit your brand & requirements.

Publish it anywhere online: on your site, in an email sent to all employees, or on a tablet placed in reception.

Whatever type of HIPAA compliant web form you might need, it will ALWAYS be ultra-easy for you to create it in your 123 Form Builder. And more importantly, it will ALWAYS be safe to use it as a data collection tool for your healthcare enterprise.
We’re trusted by big names in the healthcare industry, including:
- University of Maryland Medical Center
- Adapt Health
- Medstar Health
- Reproductive Medicine Associates of New Jersey
- Western Montana Mental Health Center
- LG Chem

HIPAA Forms at Your Fingertips
Our forms are secure — and not just any kind of secure, but “we-comply-to-US-healthcare-legislation-secure”. We proudly hold the HIPAA seal of approval and make sure our form builder upholds the highest standards of data security there are:
123 Form Builder is a drag-and-drop HIPAA compliant form builder ready to provide you with any kind of online form or workflow your medical practice, hospital, or healthcare business needs.
Really, any kind. And in minutes.
It takes three simple steps to build HIPAA privacy forms in 123 Form Builder:

- Secure medical HIPAA compliant forms
- Custom BAA and Confidentiality Agreements
- Custom notifications with PHI Protection
- 256 Bit SSL Encryption on all forms
- Data at Rest Encryption
- HTTPS Login and Automatic System Logoff
- Documented Proof of HIPAA Compliance
- 24/7 guaranteed uptime
- Deployment walkthrough for your staff
- Risk analysis & management
- Assigned security responsibility
- Office & workstation security procedures
- Information access management
- Security awareness and employee training
- Security incident procedures
- Contingency plan & emergency mode
- Audit controls
Literally, everything you need to make sure your forms and data collection workflows are entirely HIPAA-compliant.

Collect Data on Your HIPAA Compliant Forms
Digitizing your data collection forms is the smartest thing you can do for your staff, for your patients, and, ultimately, for your organization.
Not to mention, you know, the environment.
Digitalized, Optimized Patient HIPAA Forms Online

When patients walk into your practice, office, or hospital, they already have a lot on their mind — and filling out extensive, painstaking forms is, most definitely, last on their list.
In this context, you definitely want to make it extremely easy for them to go through the registration process — and online HIPAA forms from 123 Form Builder definitely help.
Regardless of whether you are putting out a HIPAA compliant survey to ask for opinions or using online forms to build a patient management workflow, you want everything to be extremely easy for your patients and their relatives.
And that’s exactly what 123 Form Builder excels at. Our form builder is a tool for you to optimize your workflows and safe data collection.



Simply put, 123 Form Builder helps you:
- Eliminate patient-flow friction
- Optimize patient movement through different stages of care
- Reduce patient wait times & avoid overcrowding
- Improve care delivery
- Eliminate manual processes to increase staff satisfaction & efficiency
- Create real-time alerts to send to a wide variety of staff-specific devices
- Improve operational decision making & workflow optimization with visual analytics
- Provide peace of mind to waiting family members through timely and effective communication
- Be better to the environment, because these are 100% paperless forms
- Reduce human error, because, well, these are 100% paperless, 100% integrated forms
123 Form Builder saves time and energy for both hospital staff and patients, so that you can go on doing what you do best: saving lives.
Online Medical Forms and Workflows for Every Need

If you are looking for a tool that helps you build HIPAA compliant medical forms for literally every need your healthcare business might have, you are in the right place.
123 Form Builder provides you with everything you need from a form builder:
- HIPAA compliance (to make sure your patients’ data is secure)
- Conditional logic rules (to optimize patient experience & staff workflow efficiency)
- Payment integrations (for prepaid medical services)
- Email notification systems (to help you maintain good communication)
- Mobile compatibility (so that your forms can be accessed on any device)
- Quiz and survey capabilities (so that you understand your patients’ needs & expectations)

Our HIPAA compliance forms for employees and HIPAA compliant forms for patients help you optimize medical services on all patient care levels…
Patient Management
Help your patients move easily from the patient inquiry phase to registering and scheduling an appointment with a medical professional. Making sure the treatment they receive is as good as it can be and correct for their stage of medical care
Insurance & Billing
Digital forms with payment integrations make it easy for your businesses to collect payments on insurance and medical services — all automated, all seamless, all contactless.
Patient Feedback
Collecting patient feedback is an important stage in making sure your healthcare business delivers to your patients’ needs. With 123 Form Builder, creating surveys and questionnaires to assess customer satisfaction and needs is easy. So easy you can do it in minutes and see to your other tasks afterwards.
Transfer & Referral
Our HIPAA compliant form builder enables you to build smart forms to transfer and refer patients to other medical professionals in a seamless way that makes it easy for you to track your patients’ status and adapt your referral as needed.
Compliance
Create medical forms that enable you to comply with legislation in the US and EU, regardless of what your data collection needs might be.
Internal Approval
If your healthcare practice needs internal approval workflows in place, online forms can help with that as well. Using 123 Form Builder’s web forms for your internal approvals can help you move information from one stage to another as fast and easy as possible.
… And for all your healthcare business’ departments too:
Marketing
Regardless of what type of healthcare enterprise you might be running, marketing will usually play an important role. And forms are an integral part of most marketing campaigns. Enable your marketing team to create quizzes, polls, surveys, and lead magnet forms easily, in minutes, knowing for certain that their data collection is up to the highest standards of security.
Accounting & Finance
Our HIPAA compliant form builder enables you to build smart forms to transfer and refer patients to other medical professionals in a seamless way that makes it easy for you to track your patients’ status and adapt your referral as needed.
Customer Service & Sales
Smart web forms enable you to automate offer and product requests, lead management, sales contract reviews, document approval, and all your sales team’s workflows.
IT
Provide your clinic’s IT department with the form building tool that will allow them to streamline IT requests and IT service processes.
Customer Service & Sales
Improve your HR’s team workflow visibility and enable them to easily onboard new staff in your hospital or clinic, as well as provide them with administrative assistance when needed.

From HIPAA compliant contact forms to HIPAA medical history forms and HIPAA compliant surveys, 123 Form Builder has it all.
And more importantly, we can bring it to you in a user-friendly interface that makes form building an easy, time-friendly activity that will boost your productivity, make for a better patient experience, and help your documentation and approvals move smoothly from one stage to the next.


HIPAA Form Templates to Pick and Use

123 Form Builder has more than 1,900+ templates you can just pick, customize, and use right away — and that includes free HIPAA compliant form templates as well.
Some examples of HIPAA form templates include the following:
- Patient Registration Form Template
- Authorization for Disclosure of Protected Health Information Template
- Blood Donation Form Template
- Doctor Appointment Form Template
- Immunization Record Form Template
- Patient Discharge Form Template
- Patient Progress Tracking Form Template
- Prescription Refill Request Form Template
- Request to Inspect a Copy of Clinical Record Template
- Online Bill Payment Template
- Medication Administration Record Template
123 Form Builder templates bring your HIPAA form needs in one place and makes them easy to:



Connect Your Medical Forms Data and Your Software Tools. Easily!

Not only are we the most comprehensive and easy to use HIPAA form builder on the market, we’re also extremely well-connected.
No, that doesn’t involve any kind of 80s rolodex. Just great integrations with some of the most popular tools on the market:
And 80+ more tools we are fully integrated with, making data transfer a safe, seamless, automatic process.

Looking for a form template?
1900+ of them are waiting for you:
Form Templates by Category
- Agreement Forms
- Application Forms
- Appointment Forms
- Booking Forms
- Cancellation Forms
- Complaint Forms
- Consent Forms
- Contact Forms
- Donation Forms
- Employment Forms
- Enquiry Forms
- Evaluation Forms
- Feedback Forms
- File Upload Forms
- Incident Report Forms
- Inspection Forms
- Membership Forms
- Order Forms
- Payment Forms
- Personal Forms
- Quizzes
- Quote Forms
- Recommendation Forms
- Referral Forms
- Registration Forms
- Request Forms
- Signup Forms
- Sponsorship Forms
- Surveys & Questionnaires
- Tracking Forms
- Volunteer Forms
- Web Design Forms
Form Templates by Business
- Business Forms
- Banking Forms
- Beauty Salon Forms
- Blog Forms
- Church Forms
- E-Commerce Forms
- Education Forms
- Entertainment Forms
- Event Forms
- Financial Forms
- Food and Beverage Forms
- Governmental Forms
- HR Forms
- Insurance Forms
- IT Forms
- Logistics Forms
- Manufacturing Forms
- Marketing Forms
- Medical Forms
- Non-Profit Forms
- Pet Forms
- Photography Forms
- Real Estate Forms
- Small Business Forms
- Sports Forms
- Wedding Forms