HIPAA Compliant Web Forms

Add HIPAA Compliant web forms to WordPress

Learn More!

FEATURES

  • Fully Secure & HIPAA Compliant
  • No Redirects to 3rd Party Websites
  • Build & Manage Forms in WordPress
  • Integrates With Caldera & Gravity
  • Optional Drag ‘N Draw Signature
  • Ability to Separate Forms by Location
  • Ability to Separate Forms by Doctor
  • Create Secure PDF’s of Submitted Forms

PRICING

  • First Month Free
  • Cancel Any Time
  • $50/Month After Free Trial
  • Supports 1 Live Domain & 1 Staging
  • Unlimited Forms
  • Unlimited Form Submissions
  • Outstanding Customer Support

“I’ve been waiting for a plugin like this for ages. So glad this one finally exists. Successfully implemented it on a client site with the help of Code Monkey’s incredible customer support. Now it’s up and running. Looking forward to installing on many other client sites.”

VPINTEA

EFFICIENT

PATIENTS SPEND OVER 20 MINUTES ON AVERAGE FILLING OUT FORMS IN YOUR OFFICE…

SIMPLE

SIMPLE TO SETUP & USE…

SECURE

ENCRYPTED, COVERED UNDER A BAA & NEVER SAVES E-PHI ON YOUR HOSTING SERVER…

WORDPRESS

30% OF ALL WEBSITES ARE BUILT WITH WORDPRESS!

United States MADE IN THE USA

DEVELOPED & SUPPORTED IN THE USA!

ARE YOU HIPAA COMPLIANT?

If you intend to take health information over a website you need to be HIPAA compliant!

Traditional forms are designed to email the form data on submission, this is how most form builders are setup for WordPress & is NOT HIPAA compliant.

If you configure your forms to save to a database instead of sending through email you still won’t be HIPAA compliant if that database is not encrypted & if you don’t have a BAA in place with your hosting provider.

Even if you do get a BAA in place with your hosting provider, encrypt your forms & encrypt your database you still need to ensure that accessing the data is secured behind login protection AND ensure that it’s logged each time someone accesses it.

There are a lot of factors to consider when it comes to taking E-PHI over a website, complying with all regulations accept one means you’re still not HIPAA compliant.

Fortunately our HIPAA Web Forms plugin & API service solves these complex compliance issues enabling you to take health information over your website securely, easily & affordably.

Start your free trial now!