HIPAA COMPLIANT WEB FORMS

Protect HIPAA-Regulated Patient Data From the Moment it’s Submitted

Healthcare organizations collect sensitive patient information every day. FormAssembly ensures that information is validated, secured, and routed correctly at submission so teams can focus on delivering care instead of manual data management.

Sophisticated healthcare workflows made simple

Fai, FormAssembly’s agentic AI assistant, acts as a built-in consultant for healthcare teams. Describe the information you need to collect, and Fai helps build compliant forms, validation rules, and workflows designed to meet HIPAA requirements, including:

  • HIPAA release forms
  • Doctor referral forms
  • Medical history forms
  • Patient intake forms

Connect patient data to the systems that power care

FormAssembly securely connects to the platforms organizations rely on, including Salesforce, EHR systems, and operational tools.

Common HIPAA-compliant use cases

Patient intake and registration

Securely collect patient demographics, medical history, and consent information while ensuring PHI is validated and protected from the moment it is submitted.

Medical research enrollment

Manage participant applications, eligibility screening, and consent forms with secure workflows that protect sensitive research data and support regulatory compliance.

Provider referral workflows

Streamline referral submissions and approvals with structured forms that route patient information securely between providers and care teams.

Patient feedback and surveys

Collect confidential feedback and patient experience data while ensuring responses containing PHI are handled securely and compliantly.

Healthcare program applications

Manage applications for healthcare services, assistance programs, and care initiatives with secure forms that capture complete and compliant submissions.

Clinical approval and documentation workflows

Automate approvals, document collection, and internal reviews for clinical processes while maintaining strict access controls and auditability.

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Frequently asked HIPAA questions

Is FormAssembly HIPAA compliant?

Yes. FormAssembly offers HIPAA-compliant data collection on enterprise-level plans and can provide a Business Associate Agreement (BAA) when required.

What types of healthcare data can be collected with FormAssembly?

Healthcare organizations use FormAssembly to collect protected health information (PHI) including patient intake data, medical histories, referral documentation, research enrollment information, and healthcare program applications.

How does FormAssembly protect PHI?

FormAssembly protects sensitive healthcare data through encryption, access controls, secure authentication, and governed workflows that ensure information is validated and routed securely into connected systems.

Do healthcare teams need technical expertise to build compliant workflows?

No. Teams can use our drag-and-drop form builder, or Fai, FormAssembly’s AI assistant, to describe the data they need to collect and quickly generate secure forms and workflows aligned with compliance requirements.

What kinds of healthcare organizations typically use FormAssembly?

FormAssembly is used by hospitals, healthcare nonprofits, research institutions, and health technology organizations that need to securely collect and process patient information while maintaining regulatory compliance.

HIPAA resources

Understanding the importance of data stewardship

Data stewardship plays a key role in protecting patient data. Learn more in this white paper by our CEO, Cedric Savarese.

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HIPAA compliance checklist

Healthcare organizations can be fined up to $68,928 per single HIPAA violation. Are your data practices compliant?

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Salesforce + FormAssembly for Healthcare

Discover common data collection use cases for healthcare organizations using Salesforce.

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Collect personal data responsibly with FormAssembly

See how FormAssembly helps healthcare organizations capture consent, protect personal information, and ensure sensitive data flows securely into the tools teams rely on every day.