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Home 2018-05-22T06:33:01+00:00

MULTI-PURPOSE HEALTHCARE FORMS

HIPAA compliance is critical if you’re a healthcare provider running your own practice or business. What type of form do you want to create with Web Patient Forms?

  • Accepting signed notice of privacy

  • Patient consent forms

  • Patient registration forms

  • New appointment inquiries

  • Managing prescription refill requests

  • Obtaining detailed medical history

DOCTORS LOVE HOW EASY IT IS TO GET STARTED

Convert your existing non HIPAA compliant forms to secure HIPAA compliant forms within a few working days.

Web Forms

Send us your existing patient forms and we will convert it to a HIPAA complaint Web Patient Form. You new forms will be secure and fillable online while being responsive. This makes it look great no matter which device is used to view / fill it.

Get Alerted

Your newly converted forms can be linked to individually from your website, email or embedded directly onto your website.That’s it, your new Web Patient Forms are now live and awaiting patients to fill it.

Download & Print

When a patient fills in your form, their submission will be converted to a PDF and attached into an email and sent to your practice email address. To view or download the PDF you need to enter in the password assigned to your account.

SIGNUP & SEND US YOUR FORMS

SECURITY & PROTECTION

Web Patient Forms is partnered with JotForms to be compliant with the HIPAA and HITECH regulations to create you the perfect solution for your medical forms.

ENCRYPTION

ENCRYPTION

All data is encrypted in transit, end to end, and at rest. Log data is also encrypted to mitigate risk of ePHI stored in log files.

ACCESS TRACKING

ACCESS TRACKING

All access requests and changes of access, as well as approvals, are tracked and retained.

PHI SEGMENTATION

PHI SEGMENTATION

All customer data is segmented. Additionally, all platform customers have a dedicated overlay network (subnet) for additional network segmentation.

MONITORING

MONITORING

All network requests, successful and unsuccessful, are logged, along with all system logs. OSSEC is used for IDS and file integrity monitoring.

AUDITING

AUDITING

All log data is encrypted and unified, enabling secure access to full historical network activity records.

VULNERABILITY SCANNING

VULNERABILITY SCANNING

All customer and internal networks are scanned regularly for vulnerabilities.

HIPAA Compliance

Your form submissions stored on a HIPAA compliant storage server

HIPAA stands for the Health Insurance Portability and Accountability Act of 1996. It is a federal mandate that requires specific security and privacy protections for Protected Health Information (PHI). More information around HIPAA can be found here: http://www.hhs.gov/ocr/privacy/index.html

Web Patient Forms is partnered with JotForms to be compliant with the HIPAA and HITECH regulations to create you the perfect solution for your medical forms. To the right you can verify the signed Business Associate Agreement issued by JotForms to Web Patient Forms.

FLEXIBLE AND FEATURE RICH

Feature rich forms to make filling out your forms fun and easy.

Standard single page form with two columns and electronic signature field

Standard multi-page form with signature draw pad and self print form feature

Individual questionnaire form

Signup To Web Patient Forms

Convert your existing Patient Forms to a more feature rich, easier to fill and secure forms platform.