PAUBOX FORMS

Collect patient data with forms that are actually HIPAA compliant

Finally, there’s a way to build forms that are HIPAA compliant and easy-to-use.

Free to use with any paid plan

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8,000+ companies use Paubox to secure over 100 million emails every month.

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Stop spending $1000s for HIPAA compliant forms

Other forms services (like Jotform) are not HIPAA compliant unless you purchase expensive enterprise-level plans.

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With free versions, you can’t collect PHI

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Paid plans start at $1,000+ a year and only includes forms

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No BAA included on free or affordable plans

HOW IT WORKS

Free, easy-to-use HIPAA compliant forms

Securely collect patient data with Paubox Forms.
 
 
STEP 1

Sign up for Paubox

Paubox Forms is included free when you sign up for any paid version of Paubox Email Suite, Paubox Marketing, or Paubox Email API.

Get started with Paubox ›

“How many forms can I create?”
As many as you like! You get unlimited forms with Paubox Forms.

 

Patient survey created with Paubox Forms
STEP 2

Build your form

Use the easy drag-and-drop builder to create patient registration forms, appointment forms, surveys, and more. Collect PHI and remain HIPAA compliant.

"Can I collect signatures via Paubox Forms?"
Yes! You can collect signatures with time stamps.

 

Paubox form builder
STEP 3

Add your form to your site

Link to your form’s unique link or embed the form directly on your website.

"Can I customize how the form looks to match my website branding?"
Yes, you can change fonts, colors, etc to match your website and brand.

 

Paubox forms with embed option
STEP 4

Collect responses

Get responses sent directly to your email and view all responses in the Paubox dashboard.

"Are form responses secure?"
Yes, all form responses are housed securely and in a HIPAA compliant manner.

 

Email with patient survey response
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Collect patient data with HIPAA compliant forms (free with Paubox)