HIPAA compliant web forms and data collection

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Protecting your patient data, streamlining your business processes.

HIPAA compliance

Rely on our HIPAA compliant solution to safely transmit protected health information.

Patient intake forms and more

Start with a simple patient information form, expand to almost limitless use cases from payment forms to health research forms and much more.

Centralized data collection

No need for a costly mix of multiple tools. One simple solution for all your data collection and form creation needs.

Streamlined processes

Integrations with Salesforce, Authorize.Net, and more allow you to simplify the process of collecting and storing information.

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Salesforce data collection made simple.

Learn how to streamline your business processes with smart, connected web forms.

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Innovation Meets Healthcare

“Being able to tie the form to multiple Salesforce standard and custom objects, being able to do prefills — those were very useful features. We were also impressed with how easy it was to create and update forms.

Becca Allen
Salesforce Developer and Administrator

Healthcare Case Studies

Healthcare Mobilization: How the California Health Corps Distributed Life-Saving Resources with Better Data Collection

The Form AdvocateChaeny Emanavin, Director, Office of Innovation California Health and Human Services Crystal Saetern, Principal Consultant Slalom Case Study Snapshot In collaboration with Slalom, staff members from the Office of Innovation within California’s Health...

Exploring the Impact of FormAssembly’s COVID-19 Assistance Program

In early 2020, as a response to the coronavirus pandemic, FormAssembly developed our COVID-19 Assistance Program. This program was designed to provide a pro bono data collection solution for the organizations that needed it most during this challenging time.Overview:...

FormAssembly Aids Alosa Health in Educating Healthcare Field Workers

The Form Advocate Program Director Case Study Snapshot Alosa Health is a company that strives to put new medical research into the hands of more medical practitioners. Alosa recognized the need to streamline how they collected feedback from clinicians out in the...

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