Secure HIPAA Compliant Forms

Ensure the highest security standards when handling patient data. Use our HIPAA-compliant online forms to collect, process, and store Protected Health Information (PHI) securely while maintaining confidentiality, integrity, and compliance.

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Trusted by 35,000+ clients, from small businesses to large enterprises

Collect Patient Data Securely & Stay Fully Compliant

Protect Protected Health Information (PHI) with 100% secure, HIPAA-compliant online forms. Automate patient data collection, streamline workflows, and ensure regulatory compliance—all in one easy-to-use platform.

HIPAA & GDPR Compliance – Keep patient data safe with encrypted form submissions.
End-to-End Security – Data is encrypted in transit and at rest.
Automated Workflows – Reduce manual tasks and improve efficiency.

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Create Secure, Customizable HIPAA-Compliant Forms Effortlessly

HIPAA compliance is crucial for patient data security, but collecting PHI doesn’t have to be complex. With our drag-and-drop HIPAA-compliant form builder, you can easily create, customize, and share online forms—no coding required. Patients can fill, sign, upload files, and submit forms from any device.

Seamlessly integrate with Google Calendar for appointments, MailChimp for confirmations, Salesforce for automation, and PayPal or Stripe for payments. 123FormBuilder helps you streamline workflows, reduce wait times, and maintain top security standards.

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Ensure Enterprise-Grade Security for Your Data

In addition to HIPAA compliance, our platform offers robust security measures to protect your data. These advanced protocols help prevent breaches, reduce risks, and keep you in control.

Custom BAA & Confidentiality Agreements
AWS Data Residency (US, Europe)
256-Bit SSL Encryption (on all forms)
Data Encryption (at rest & in transit)
User Roles & Permissions
GDPR, COPPA, CCPA Compliance
ISO 9001 & ISO 27001 Certifications

Plus, our expert support team and dedicated account & technical manager are always available to help you maximize the value of 123FormBuilder.

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Interested in HIPAA compliant forms?

Learn how 123FormBuilder’s HIPAA-compliant forms can support your healthcare data management needs.

Fill out the form, and our team will:

Understand Your Needs – We’ll learn your requirements, challenges, and compliance goals to recommend the best solution.
Show How Our Solution Fits – We’ll show how 123FormBuilder streamlines workflows, boosts data security, and ensures HIPAA compliance.
Walk You Through Key Features – Get a demo of HIPAA-compliant features, customizations, and integrations for efficient data collection.
Provide a Tailored Pricing Plan – We’ll offer a custom pricing plan that fits your budget and ensures full HIPAA compliance.

Schedule a demo with our team to explore how our solution can help.

Applications & Workflows in Clinics and Hospitals

Obtain patients’ permission for any upcoming medical procedure or treatment. Add an electronic signature field on your consent forms to legally bind it.

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Streamline Patient Onboarding

Welcome new patients efficiently and reduce their wait time by collecting personal & medical data through HIPAA online forms. Send email confirmations and provide peace of mind.

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Accept Bill Payments

Through 123FormBuilder’s HIPAA forms, you can give your patients a convenient & secure way to pay medical bills. Integrate with payment providers such as Stripe, PayPal, Square & more.

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Improve Sales & MKT

Collect feedback, run lead generation campaigns, automate product requests, or simplify the sales contract review process with 123FormBuilder’s HIPAA compliant forms.

Run Clinical Trials

Optimize clinical research operations and minimize the human error associated with manual paperwork by using HIPAA forms online to enroll patients and collect their consent.

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Manage Medical Records

Accurately collect and store the patient’s medical data in your online system, so you can quickly access any medical record and improve your staff’s response time.

Why customers choose us

Jessica BeatyEMR & Training Manager at Village Health Partners

Regarding HIPAA compliance, our BAA and trusted practices built confidence. The platform offers extra security protocols and a dedicated onboarding session. With the fast-paced vaccine approval process, secure and easy data collection brings peace of mind.

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