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