HIPAA-Compliant Forms for Healthcare — Builder, Embed, API, Plugins
Collect and manage PHI securely using our drag-and-drop form builder, embedded forms, developer API, and integrations for WordPress and Joomla — with encryption, access controls, and a Business Associate Agreement.
Built for how you work
One platform: builder, embeds, API, and CMS plugins. Choose the channel that fits your workflow.
Drag-and-Drop Form Builder
Build HIPAA-ready forms in minutes with conditional logic, validations, and reusable templates. No coding required—design once and deploy everywhere.
Embed Anywhere
Securely embed forms on your website, patient portals, intranets, and care flows. Iframe or script-based embeds with full control over styling and behavior.
Developer API
Create forms, submit data, automate workflows, and connect to internal systems. RESTful API for integrations, EMR/EHR hooks, and custom applications.
WordPress Plugin
Publish HIPAA-ready forms on WordPress with controlled access, shortcodes, and submission management—without leaving your CMS.
Joomla Plugin
Native Joomla integration for secure form delivery and submissions. Deploy compliant forms directly from your Joomla site.
End-to-End Security
Encryption in transit and at rest, secure key management, and hardened infrastructure so PHI stays protected throughout the lifecycle.
Audit Logs & Access Controls
Role-based access control, detailed activity logs, and accountability so you can demonstrate who accessed or changed what, when.
Secure Data Storage & Retention
Configurable retention policies, export options, and secure deletion so you meet retention requirements and can purge data when needed.
Built for HIPAA Compliance
Our platform is designed to support your HIPAA obligations. We implement administrative safeguards—documented policies, access procedures, and workforce training support. Physical safeguards cover infrastructure controls and secure facilities. Technical safeguards include encryption in transit and at rest, role-based access control (RBAC), and comprehensive audit logs so you can demonstrate accountability. We follow the principle of least privilege and clear data handling practices. A Business Associate Agreement (BAA) is available for covered entities and business associates who need it.
Use cases
Secure collection of PHI across common healthcare workflows.
Patient Intake & Registration
Collect demographics, insurance, and consent securely at check-in. Replace paper clipboards with digital forms that flow into your systems and stay auditable.
Telehealth Consent & Acknowledgements
Capture consent and acknowledgements for telehealth visits in a compliant, timestamped way. Integrate with your telehealth platform or portal.
Medical Records Requests
Handle authorization and request forms for releasing medical records. Track requests, verify identity, and maintain a clear audit trail.
Insurance, Billing & Authorizations
Gather insurance details, prior authorizations, and billing-related PHI through secure forms that connect to your billing or practice management workflow.
How it works
Four steps from build to secure collection and management.
Build your form
Use the drag-and-drop builder to design your form with fields, logic, and validations. Start from a template or from scratch.
Publish via embed, WordPress, or Joomla
Deploy on your site with an embed code, or use our WordPress or Joomla plugins to publish forms natively in your CMS.
Integrate via API (optional)
Connect form submissions to your EMR, EHR, or internal tools using our API. Automate workflows and keep data in sync.
Collect, monitor, and manage PHI securely
Review submissions, run reports, and manage data with access controls, audit logs, and retention policies in place.
Ship HIPAA-Compliant Forms Without Slowing Down Your Workflow
Use the builder when you want speed — use embeds, plugins, or the API when you need integration depth.