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HIPAA Form Builder

Collect PHI with confidence using encrypted forms, audit-ready logs, and role-based access controls built for healthcare teams.
Try this prompt
Create a patient intake form for a dental office that collects medical history, insurance information, and emergency contacts while ensuring all data is encrypted and HIPAA compliant.

Built for Regulated Healthcare Teams

Encrypted by Default

AES-256 at rest, TLS 1.2+ in transit, plus isolated key management satisfy HIPAA technical safeguards.

Audit-Ready Logs

Every view, edit, and export is timestamped with user ID and IP for compliance reviews.

Role-Based Access

Grant least-privilege access to clinicians, front desk staff, and billing teams.

Retention Policies

Automate deletion schedules per state requirements or facility policy.

Baked-In BAAs

Business Associate Agreements are included with paid plans—no extra contracts.

EHR Integrations

Securely push submissions into Epic, Athenahealth, or custom FHIR endpoints.

HIPAA Form Best Practices

1. Encrypt Every Field

Treat all PHI inputs as sensitive and encrypt before saving—even temporary caches.

2. Log Everything

Audit trails should capture who viewed or exported data and when; regulators expect it.

3. Automate Retention

Schedule deletions based on record type so staff can’t forget manual cleanup.

4. Require MFA

Enforce multi-factor authentication for anyone accessing submissions or admin tools.

5. Design for Tablets

Clinicians often use iPads—ensure signatures and dropdowns work smoothly on touch devices.

6. Segment Permissions

Give billing teams access to insurance data but hide clinical notes they don’t need.

Healthcare professionals who benefit from HIPAA-compliant form builders

Healthcare Providers and Medical Practices

Doctors and clinics streamline patient intake while ensuring complete HIPAA compliance and data security

Healthcare IT Administrators

IT teams implement secure form solutions without complex coding while maintaining organizational compliance standards

Medical Practice Managers

Practice managers digitize workflows and reduce paperwork while protecting patient privacy and meeting regulations

Healthcare Compliance Officers

Compliance professionals ensure all patient data collection meets HIPAA requirements with built-in audit trails

What Our Users Say

HIPAA Form FAQs

What makes these forms compliant?

Do I need special hosting?

Can I collect any PHI?

How long is data retained?

What about pricing?

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