Secure Medical Forms
Healthcare organizations need secure medical forms to protect patient data and streamline workflows. 123FormBuilder helps hospitals, clinics, and healthcare professionals collect and manage PHI while ensuring HIPAA compliance.
Trusted by Leading Healthcare Providers
Why Healthcare Providers Trust 123FormBuilder
123FormBuilder is designed to help medical organizations simplify data collection while maintaining high-security standards. Whether you’re gathering patient intake forms, consent documents, appointment requests, or medical history records, our platform ensures that all data is handled securely and efficiently.
- 100% secure & encrypted form submissions
- HIPAA-ready infrastructure for healthcare organizations
- Integration with EHR, CRM, and cloud storage systems
- Mobile-friendly, responsive forms for patients & staff
Key Features of 123FormBuilder’s Secure Medical Forms
End-to-End Data Encryption
All healthcare forms are encrypted in transit and at rest, ensuring PHI is protected from unauthorized access.
Auto Data Deletion for HIPAA
To enhance data security, all submitted PHI is automatically deleted after five days. This minimizes exposure risks while keeping your organization compliant with privacy laws.
Encrypted PHI Notifications
Receive secure form submission notifications that are only accessible through a protected email portal, ensuring patient information is shared safely.
Real-Time Data Collection & Analytics
Monitor form submissions, track patient interactions, and gain insights to improve your healthcare processes.
Two-Way Salesforce Integration
With 123FormBuilder’s two-way integration with Salesforce, all collected leads and patient data are automatically sent to your system, keeping records up to date and ensuring efficient follow-ups.
Integration with Healthcare Systems
Easily connect 123FormBuilder with EHR platforms, CRM systems, cloud storage (Google Drive, Dropbox), and other medical software to streamline patient data management.
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Strict HIPAA Data Retention Policy for Maximum Security
At 123FormBuilder, we follow a rigorous HIPAA Data Retention Policy to protect patient privacy and prevent unauthorized access to sensitive medical records.
- All submitted PHI is permanently deleted five days after submission
- Daily encrypted backups are provided to maintain data accessibility
- Secure notifications ensure PHI is transmitted safely
These measures reduce the risk of data breaches while ensuring that healthcare professionals maintain access to critical patient information.
Essential Secure Medical Forms for Healthcare Providers
123FormBuilder offers a range of customizable, secure medical forms to enhance patient interactions while ensuring HIPAA compliance. Here are some of the key forms designed to enhance your practice’s efficiency and maintain patient privacy:
Patient Intake Form
Streamline new patient registration by securely collecting medical history, contact details, and insurance information.
Medical Consent Form
Obtain digital patient authorization for treatments and procedures while ensuring compliance with legal and privacy standards.
Telehealth Appointment Form
Allow patients to book virtual consultations easily, reducing administrative workload and improving accessibility.
HIPAA-Compliant Medical History Form
Safely gather detailed patient medical records to assist in accurate diagnoses and treatment planning.
Start Collecting Healthcare Data Securely Today
With 123FormBuilder, you can quickly build secure, compliant medical forms that protect patient privacy and simplify data collection. Whether you’re managing patient intake, medical research, or consent documentation, we provide a fast, reliable, and secure way to handle sensitive healthcare information.
Start building secure healthcare forms today and experience the easiest way to collect and manage PHI while ensuring compliance.
Take the next step toward secure, compliant medical data collection!
Schedule a Demo