HIPAA Compliant Forms
Securely collect patient information and easily digitize your workflows with confidence.
Apply for a compliance planSecurely collect patient information and easily digitize your workflows with confidence.
Apply for a compliance planCreate your business workflow and comply with data privacy regulations with our easy-to-use forms and survey solution.
Patient data or PII is safeguarded when transmitted electronically. The protected information from your form transmits as encrypted data through industry-standard SHA 256 SSL connection.
The technical safeguard standard mandates that patient data or PII should neither be deleted nor altered. The secure cloud storage of your form ensures security measures to prevent unauthorized approach.
Require measures only to allow access based on identity proof. EmailMeForm has MFA (multi-factor authentication), meaning it can only be accessed with a strong password and a unique code generated from authentication applications.
EmailMeForm provides a BAA for your business to securely collect and store PII and PHI.
Imperative to protect PHI is proper encryption. Data is safe when stored and retrieved.
Track all activities that occur to mitigate the risk that may happen. The "Audit Trail" on every form shows the revision details of who initiated the edit.
The User Form Manager can allow multi-users but with defined permissions.
PII (Personally Identifiable Information) and PHI (Protected Health Information) are often used interchangeably. However, there is quite a difference crucial for business meaning to achieve HIPAA compliance. PII includes general information that can be used to identify or locate an individual, while PHI is health-related information (medical records) disclosed. PHI is a cluster under PII obtained from providing healthcare services. With EmailMeForm, you can meet global compliance standards to collect PII and PHI.
Keep up with the technological changes while saving your business from fines.
Accept online appointments when you embed your form on your website. Let your patients connect with you quickly, with no personal interaction or phone trials. The appointment form can be customized with your themes like hospitals or healthcare logo.
While you accept online appointments, you can offer to process payments online for your patient to confirm a slot for checkups or consultations seamlessly. Your form can integrate with payment processors or use Vault, a PCI certified solution to collect credit card payments—no need to hold down patients every after doctor appointments.
Collect your patient information online with confidence. Mark required fields for you to avoid missing out on essential items or mask sensitive patient data. Break registration forms into pages of different categories, so you gather their record neatly.
Secure form access to selected members and share form password to selected clients. The health record is accessible only to those with permission. Set a HIPAA standard password that includes two-factor authentication and strong identification to secure your account.
Only perform legal and valid practices. Let your patients electronically sign their consents or waivers for any virtual transaction. Capture their official signature to minimize any legal misunderstandings. Your patients can forward their consent from anywhere since your medical form is mobile to access from anywhere.
Do not lose patients who use health cards or insurance. As much as you favor physical compliance with these, some patient representatives can’t be present. Simply allow your form to receive files of any medical document or image.
Gather patient information and protect your health-related business
She learned that your clinic specializes in treating her condition. Though miles away from your location, she finds your office online.
Rose fills out your registration form for new patients. She sees your forms are HIPAA compliant providing confidence to submit her medical history online.
You receive her appointment request and medical history. The new appointment is added to your calendar.
An email is sent to her to confirm her booking. This is sent simultaneously to her and you as a clear copy of her new record.
Rose fills out your PCI Certified Vault form setup with EmailMeForm to give you a credit card authorization to settle her account and future visit with your paperless workflows.
Create branded healthcare forms with the help of our professionals from CustomWorks
