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Paubox Forms
Add a HIPAA compliant contact form to your website
Patients use your website's contact form to describe symptoms, whether you ask them to or not. Replace it with a Paubox form that encrypts what they send and covers it under your BAA. Get started
Do this with AI
Paste the following prompt into your AI assistant:
Patients use the contact form on our website to ask about appointments and sometimes describe their symptoms. Explain why that's a HIPAA concern, how a Paubox form would handle those messages instead, and what it takes to put one on our site.
Paubox Forms
Your contact form is collecting PHI
The contact form that came with your website builder sends what patients type to an inbox that isn't covered by a business associate agreement (BAA). A Paubox form collects the same information, encrypts it, and stores it in your Paubox account. Publish the form, copy the embed code from the Embed tab, and paste it into your site.
Embed in one step
Copy one line of embed code into your website and the form appears in place
Know when they write
Choose who on your team gets an email notification for every new submission
Uploads included
Patients can attach photos or documents, with the file types you choose
Perfect for: Practices whose website has a 'request an appointment' form, clinics that get symptom descriptions through their contact page, and website managers who were never told the form was a compliance question.
Get started
You can do this and more with Paubox
Paubox Forms is included with every paid Paubox plan, along with encrypted email and a BAA.