HIPAA Compliant Forms Digital and Secure

Build secure HIPAA compliant forms with 123 Form Builder’s drag & drop online form builder. Save time, comply with regulations and engage with your patients easily and securely.

Collecting and processing Protected Health Information (PHI) securely is a priority (especially in the COVID context). Digitize and automate your processes with online HIPAA- compliant forms.

Healthcare workflows become digital and secure.

HIPAA Compliant Forms Templates
patient appointment form
Patient Appointment Forms

Manage your time efficiently by accepting appointments online from your patients anywhere, anytime.

Online Bill Pay
Online Bill Pay

Issue medical invoices online and collect payments in a snap through any popular payment gateway.

patient registration form
Patient Registration

Simplify healthcare workflows by digitizing the patient registration process in any medical clinic.

patient satisfaction survey
Patient Satisfaction Surveys

Allow your patients to evaluate and to leave feedback about the quality of your healthcare services.

medical history form
Medical History Form

Forget about complicated paperwork, track your patients’ medical history data online.

Dental Practice
Dental Practice

Schedule appointments and register patients to your dental practice.

Prescription Refill
Prescription Refill

Send prescription refill orders within minutes in a quick and smart way.

Functionalities

  • 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

Confidentiality, Integrity & Availability

  • 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
  • 24/7 Dedicated Support
Use Case - Accelerating Compliance with Digital Forms

A healthcare provider secures data, doubles patient engagement and increases conversion by 33% through the use of digital HIPAA compliant forms.

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Use Case - Redesigning the MRI Workflow

A US imaging diagnostic center is redesigning the whole appointments and patient interaction workflow. With more than $2.1 per year revenue increase, this proves to be the optimal solution.

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Use Case - Optimizing Pre-Surgical Workflows

A bariatric surgery clinic chain with six locations throughout the Unites States East Coast is redesigning the pre-surgical process and automating patient data collection.

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