Tired of endless paperwork? Want a faster and secure way to collect patient data?

Say hello to Patient Form, a software solution designed specifically for medical and dental professionals to easily collect patient-related data while complying to HIPAA privacy standards.

In an era where healthcare data protection is paramount and security breaches are frequent, our HIPAA compliant online form builder empowers healthcare providers to collect, store, and manage sensitive patient information in an easy, secure way.

Go Paperless & Save Time

Patient Form is equipped with all essential features to streamline your data collection processes while adhering to strict privacy regulations set by HIPAA. From registering new patients to conducting clinical trials, it lets you easily create digital forms for every step while minimizing security risks and eliminating paperwork.

Start Free Trial

User-Friendly Dashboard

Our clean, mobile-friendly interface enables your team to create HIPAA-compliant online forms in minutes. Keep all your forms organized in one place.

Drag and Drop Builder

With the drag-and-drop feature, designing patient forms is effortless. You can create patient forms easily without any coding skills or technical expertise.

Endless Customizations

Easily design customized forms tailored to your clinic or hospital's unique needs, covering patient onboarding, consent forms, and insurance information.

Seamless Integration

Farewell to paper forms and hello to a convenient digital experience. Let patients complete forms online at home, saving time for both them and your team.

Comprehensive Security

Our form builder is verified by HIPAA for compliance. We use security measures like data encryption to protect the privacy of patient’s sensitive health data.

Real-Time Notifications

Stay informed and manage appointments effectively by getting instant alerts via email when a new form is submitted through Patient Form.

Doctors Love Patient Form

Our HIPAA-compliant form builder has empowered several doctors to enhance efficiency of their practice with secure data collection and management.

Dr. Mike Shalaby

Paradigm Dental

We started using Patient Form when they were in beta and we love what they have done with this platform. It makes handling forms for our office a breeze! Highly recommended!

Dr. Tejas Patel

Austin Cosmetic Dentistry

My office is extremely busy and we are always looking for ways to become more efficient. Patient Form has done just that.

Dr. Kevin Farnsworth

Farnsworth Smiles

I signed up and my forms were live in 12 hours. Put simply, they work.

Our Pricing Plan

  • 1 User
  • 20 Forms
  • 200 Fields Per Form
  • Drag and Drop Builder
  • Prebuilt Templates
    Coming Soon
  • Form Integration
    Coming Soon
  • HIPAA Compliant

Start 30-Day Free Trial Today!

Start Free Trial

Why choose Patient Form for HIPAA compliance?

Patient Form isn’t just another online form builder. It’s a secure way to simplify your data collection process. Designed with the healthcare professionals industry in mind, our online form builder is a comprehensive solution for HIPAA compliant data collection and storage. Here’s why doctors from various specialities trust Patient Form.

Traditionally, collecting a patient's medical history and insurance information has been a time-consuming, labor-intensive process. However, with our online form builder, your administrative team can create a streamlined digital workflow, saving time and reducing paperwork.

No steep learning curve is required to use our HIPAA form builder. Anyone can create and manage patient data effortlessly with our user-friendly software.

Whether you're a small clinic or a large healthcare organization, Patient Form scales with you and adapts to the evolving needs of your practice.

Your patients can conveniently fill out forms at home prior to their visit as our responsive form design works seamlessly on all mobile devices. You can also collect electronic signatures, reducing wait times at the clinic.

We safeguard sensitive patient information by storing digital forms in a secure and encrypted environment, reducing the risk of data breaches and ensuring compliance with privacy regulations.

Our dedicated support team is available to assist you whenever you need it. We're here to ensure your success.

Join the Patient Form family today

Don’t let HIPAA compliance be a barrier to experiencing the benefits of digital data collection practices. Streamline your workflow and deliver better care to your patients with Patient Form.