Safeguard Patient Data, Every Step of the Way
If you need HIPAA-compliant web forms for processing PHI, it’s vitally important that you work with a reputable, reliable vendor. With a HIPAA-compliant form builder, healthcare technology leaders rest assured that sensitive data is being processed with the utmost care, whether it’s being sent through patient information forms, medical research forms, or any other type of forms created with FormAssembly.
Collect Data with Compliant Features
Automate Patient Processes
Send notifications to the appropriate departments, request approvals, and set up multi-form workflows
Sensitive Data Controls
Mask and encrypt sensitive fields to protect
PHI and other patient data
Dynamic Forms
Drop-down menus in forms pull options, like patient conditions, straight from Salesforce picklists with our Salesforce Connector
Payment and Donation Collection
Seamlessly collect fees, co-pays, or donations as a part of any form
Save and Resume
Allow patients or applicants to return to forms to complete later
Experiences Patients Trust
Brand forms and embed them on your secure websites, or share via link for flexible delivery
See why healthcare technology leaders trust FormAssembly with their sensitive data collection.
Care for Data Entrusted to You
“For our practice, the HIPAA compliance is the most important feature. Because we are a healthcare organization — everything that we do — we need to make sure that we’re going to be HIPAA compliant.”
Jim Bollinger – Integrity Healthcare Advisors
Quick Start Form Templates
Leverage a library of pre-built form templates to quickly build impactful, HIPAA-compliant forms for your organization.
- HIPAA Medical Release Form
- Doctor Referral Form
- Patient Discharge Form
- And More
Case Study
Fast, User-Friendly Medical Forms
Breast imaging company QTbreasthealth needed to build a medical history form that enables the transfer of information to Salesforce, which in turn sends it to their electronic health record (EHR) system. They use FormAssembly to build a HIPAA-compliant form that is also user-friendly, improving patient experiences and speeding up the intake process.