Secure Forms Built to Support Healthcare Teams

أنشئ بسهولة نماذج آمنة
ومتوافقة مع HIPAA.

Jotform offers a HIPAA-enabled environment for your forms, making it easy for patients to submit their data securely. From intake to consent forms, streamline your workflow—all in one place.

Please follow applicable laws, rules and HIPAA requirements when handling protected health information.

Easily build secure, HIPAA friendly forms

ميزات نموذج Jotform HIPAA الرئيسية

Jotform’s HIPAA environment is loaded with powerful features to help you collect and manage sensitive patient information. Check out what makes Jotform a leader in forms you can use to support your HIPAA compliance efforts.

  • Drag and drop form elements like dropdowns to easily build your patient intake form.

    Building forms that support HIPAA compliance with Jotform just takes a couple of minutes and zero technical skill. Every question field can be added with a single click.

Youtube Video Popup about HIPAA Friendly Forms
Youtube Video Popup about HIPAA Friendly Forms

اجمع البيانات الطبية الحساسة باستخدام Jotform

Collecting patient information has always been a headache. Jotform makes it simple for authorized users in your organization to create forms that support HIPAA compliance and improve the overall patient experience. Say goodbye to messy paper forms!

With Jotform, you can collect and centralize your medical information, patient feedback, employee applications, and even payments into one place. Plus, sensitive patient data is protected through security features designed for HIPAA-enabled accounts.

Start securely collecting information with healthcare or medical forms today.

أسئلة متكررة ومتداولة

  • ما هو HIPAA؟

    HIPAA stands for the Health and Insurance Portability and Accountability Act of 1996. This U.S. law maintains requirements over who has access to patient medical information and how that information may be shared.

    Under HIPAA, covered entities may use or disclose a patient’s protected health information (PHI) without a patient’s permission in certain permitted circumstances, including:

    • العلاج وعمليات الرعاية الصحية وأغراض الدفع
    • تبادل المعلومات مع المريض
    • إتاحة الفرصة لتأكيد أو رفض الإفصاح عن المعلومات الصحية المحمية
    • الاستخدام ضمن مجموعة بيانات محدودة للصحة العامة أو البحث أو عمليات الرعاية الصحية
    • حادثة محدودة لا يمكن تجنبها وتتطلب الكشف عنها

    Sharing patient medical information may not require approval if the reason for sharing it meets one of 12 national priority purposes. These are limited circumstances under HIPAA involving a patient’s personal, private medical information.

  • لماذا تم إنشاء HIPAA؟

  • ما هي نماذج HIPAA؟

  • من الذي يغطيه قانون HIPAA؟

  • من يفرض HIPAA؟

  • لماذا يعتبر الامتثال لـ HIPAA مهمًا؟

  • ما هي المعلومات الصحية المحمية (PHI)؟

  • Does Jotform’s WordPress plug-in help support HIPAA compliance?

This content is for informational purposes only. Jotform is not a law firm and is not providing any legal, financial, or other advice. Please consult a licensed attorney and/or other applicable professionals.