Secure vaccination forms made simple
Streamline COVID-19 vaccination forms and data collection with one comprehensive platform.
Online forms are an essential part of the vaccine management process—for registrations, medical history forms, screening questionnaires, and more. With FormAssembly’s HIPAA compliant and FedRAMP Ready platform, healthcare, education, and government organizations can get vaccination forms up and running quickly with a streamlined data collection system.
Our platform offers encryption in transit and at rest, sensitive data masking, administrative controls, and other security measures so that you can rest assured that PHI is being handled correctly.
Important Note: This is not a form to register to receive a vaccine. This form is for healthcare providers and other organizations that administer vaccines and are interested in purchasing a form solution to support their processes.
The vaccination form solution you need
Find out how you can test drive vaccination forms!
Collect, connect, protect
Collect
FormAssembly has pre-built vaccine form templates in our Template Library, making it easier than ever to get your healthcare forms up and running quickly. Create dropdown menus for patients to identify pre-existing conditions, enable form attachments so patients can attach insurance information, and more.
Connect
FormAssembly’s robust Salesforce integration enables organizations to safely funnel data into Salesforce without any manual backend data entry.
Protect
FormAssembly is HIPAA compliant and is the only FedRAMP Ready web form builder and data collection platform in the FedRAMP Marketplace. This means that our platform is secure enough to be used by any organization that is managing vaccination initiatives, including government agencies, healthcare providers, charities, schools, and others.
Your mission is critical—we’re here to help.
FormAssembly Inc.
885 S College Mall Rd, #399
Bloomington, IN 47401
Copyright © 2006–2021 FormAssembly Inc.
