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<