Allowing patients to securely fill out their secure medical forms right from your website will reduce manual entry, eliminate paper waste and increase efficiency.

When is a HIPAA-Compliant Form is Needed?

HIPAA-compliant forms should be used on your website any time you are asking a user to submit protected health information. PHI includes the following identifiers:

  • Name
  • Location
  • Dates
  • Contact numbers
  • Email addresses
  • Medical record numbers
  • Health plan beneficiary numbers
  • Account numbers
  • Certificate/license numbers, including driver’s license numbers
  • Vehicle license plate numbers
  • URLs
  • IP address numbers
  • Biometric identifiers such as fingerprints
  • Full-face photographs and video
  • Any other unique identifying numbers, characteristics or codes

How Does it Work?

Before adding forms, it’s important to make sure your website has adequate security measures in place to meet HIPAA requirements such as secure sockets layer (SSL) protection, data protection and that it’s hosted on a secure server.

HIPAA compliant forms can then be submitted through your secure website and to a designated email address to provide patient convenience and security.

What We Do

TargetMarket will design a custom web form or PDF form for your practice using SecureForm™—a full-featured form solution designed for compliance.

If needed, we can replace “I agree” checkboxes with ink signatures which are more legally binding. Users can write their name with a mouse, finger or stylus and the signature is then captured as an image. This added feature offers additional spam protection.

We then configure what happens to the data that is submitted via your forms. The most common options include sending the form data and files to an email address (or multiple email addresses) of your choosing or having the data uploaded to any web server via FTP or SFTP.

You can also choose to be notified via email or SMS/text message any time a new form is submitted.

TargetMarket can help minimize the stress in creating a HIPAA-compliant website. As established healthcare industry website designers we are well-versed in what is needed for both your website’s backend and for patient-facing information.

Request a free consultation and learn more about how we can help protect your patients and yourself with custom-designed HIPAA-compliant forms.

Start Growing Your Practice Today!

Your accomplishments propel our business, and our expertise fuels your success. This collaboration is at the heart of who we are. Let’s work together to solve your biggest challenges—and celebrate your success—as a team.

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