Jotform Health: Medical Forms
Create HIPAA Compliant Form
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Description

Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-friendly medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

** Create Forms Without Coding
Building a HIPAA-friendly form with Jotform takes just a couple of minutes and zero technical skills. You can make your own form or use our professional healthcare form templates.

** Follow HIPAA Regulations
Our HIPAA compliance features encrypt form submission data automatically, guaranteeing the privacy of your patients'’ health information. You can also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

** Schedule Appointments
Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

** Obtain Informed Consent
Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their electronic signature. You can even convert each submission into a downloadable, printable PDF!

** Accept Medical Bill Payments
Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.net. You won’t have to pay any additional transaction fees.

** Collect Patient Signatures and Files
Patients can easily sign their forms with electronic signatures and attach important medical documents, images, and other files.

** Integrate with 100+ Apps
Connect your forms and surveys to other software like G Suite and Dropboxother software to sync submissions automatically and make patient data more organized and accessible for your team.

** Enable Mobile Responses
All forms are mobile-responsive and can be filled out on any smartphone, tablet, or computer with ease. Patients can check in for their appointments, register as new patients, or update their medical history directly on your office’s device.

** Streamline Your Workflow
Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other software.

*** KEY FEATURES ***

** Automate Your Workflow
- Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
- Add conditional logic, calculations, and widgets
- Set up autoresponders to send confirmation emails and reminders
- Get notified of submissions instantly with push notifications
- Collect multiple submissions at once with kiosk mode
- Provide a touchless form-filling experience for your patients with QR codes

** Collaborate with your team
- Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
- Assign forms to patients or colleagues and view their responses

** Advanced Form Fields
- Appointment calendar
- GPS location capture
- QR code and barcode scanner
- Voice recorder
- Signature capture (24/-7 mobile sign)
- File upload
- Take photo

** Keep Patient Data Safe
- 256-bit SSL encryption
- PCI DSS Level 1 certification
- GDPR compliance features
- HIPAA compliance features

Privacy Policy: https://www.jotform.com/privacy/
Terms of Service: https://www.jotform.com/terms/
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In-Apps

Jotform Health Yearly Gold
$999.99
Jotform Health Monthly Gold
$129.99
Jotform Health Yearly Silver
$499.99
Jotform Health Monthly Silver
$48.99

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User Rating

4.84 out of 5

141 ratings in United States

5 star
132
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Ratings History

Reviews

Terrible for doctors

Bassmaster J on

They make it impossible to quit, so don’t sign up! How can I trust them to be ethical with patient data when they use deflection to keep billing you? Also, text is scraped from your consent forms, so columns and formatting lost, meaning garbled.

Excellent

SabaterLAB on

Reliable service and conveniently accessible!

Terrible

ZeekoReza on

The regular jotform is ok. But the HIPAA version is a disaster. The PDFs get downloaded each time with different data. Some things on it are just not seen on the PDF. You have login to the app and manually see the data each time. And if you want to save it well you cant because the PDF is incomplete. We have hipaa compliant drives with BAAs. But cant even use them as the PDFs are incomplete. I regret paying for the whole year and as soon as I am done will leave. Customer service is slow and to take care of an earlier issue I had with the functionality took 3 weeks and 20 emails. Who has time to go through this again. !! They should tell you that app had all these restriction or bugs as compared to the regular one. Disaster.

Awesome

Begford on

Awesome

Best application for any business!

Baltimore NDL on

Multiple options and great performance!

So easy to use , however very expensive!

IG Likes&Follows on

Nice

Jessica

joeeariella on

Works great love the Hippa compliance

Sign in problem

Brown!23 on

I’ve tried several times to sign in and I can’t get past the sign on page, very frustrating

Awesome app

kelariella on

Great app and software for forms that need to be sent and filled.

Should tell fees upfront

Topher Hollander on

I’m sure this is a great program and I expected some fees, but I wouldn’t have bothered downloading it if they said it was $40/month somewhere in the description.

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91
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App Info

Category
Medical
Publisher
Jotform Inc
Languages
English, French, German, Korean, Portuguese, Spanish, Turkish
Recent version
2.9.59 (1 month ago )
Released on
Jan 14, 2021 (3 years ago )
Last updated
1 week ago