HIPAA Compliant Forms
for any website

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Interested in how Practis Forms works?

Collect protected health information

HIPAA compliant forms to streamline your workflow

Practis Forms is a HIPAA compliant form builder that allows you to collect patient and other sensitive information anytime, anywhere, from any device. By allowing patients to securely fill out their secure medical or dental forms right from your website, your office will reduce manual entry, eliminate paper waste and increase efficiency.

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Enhance security, improve your workflow and generate more patient leads with HIPAA compliant forms

Whether you're trying to improve your patient intake process for your medical or dental practice, looking generate patient leads or needing to streamline hiring, our simple-to-use secure online form and quiz builder tool has the flexibility and capability to meet your changing needs.

HIPAA compliant form features you seek

Practis Forms safeguards your submission data with 256 bit SSL encryption and storing it in an encrypted format in a separate database server. Our servers are managed 24x7, in a state-of-the-art facility that is located in the U.S. All of the staff responsible for the development and support of Practis Forms reside in the USA.

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Electronic Signature

Obtain signatures electronically by allowing patients to sign your form.

Mobile Friendly

Complete your online secure forms from any device - phone, tablet or desktop.

Quizzes & Scoring

Generate patient leads on social media, compile and score your data from healthcare assessment surveys.

Online Bill Pay

Allow your customers to pay their bills right through your website. Payments are automatically deposited into your bank account.

Secure File Upload

At our Plus level, add secure file upload to your form.

Easy to Use Form Builder

Anyone can create or modify form fields without any technical background.

How to get started with Practis Forms

Step 1. Signup for Practis Forms

When you sign up with Practis Forms, a Business Associate Agreement (BAA) is automatically generated between Practis and the covered entity. This BAA is a requirement of HIPAA.

Step 2. HIPAA compliant form creation

With Practis Forms you have two options. You can either activate an account and build out your forms on your own, or you can send your forms to our team and we can build them for a fee within 48 hours. Upon form completion, you will receive a welcome kit containing instructions on how to use Practis Forms.

Step 3. Add your forms to your website

By adding a few lines of HTML code, our forms can be embedded right on your website or you can provide an outbound link directly to where your form is hosted. Your customers can now start using your forms and submitting information.

Step 4. Receive form submissions

When someone submits their information through your HIPAA compliant form, you will receive a notification via e-mail that a submission has been made. From there, you can log into the secure server to retrieve the data.

Step 5. Print or export form submission data

Protected Health Information, or ePHI, can be exported from Practis Forms in multiple formats including pdf, csv or xls. You can also print submissions to pdf or to your office printer.

Form Pricing

Tier 1

$25/month

  • Online Support
  • 1 form
  • 500 submissions per form
  • 25 fields
  • Unlimited Users
  • Unlimited Reports
  • Electronic Signature
  • reCAPTCHA
  • Accept Payments

Tier 2

$50/month

  • Online Support
  • Up to 3 forms
  • 1000 submissions per form
  • 150 fields per form
  • Unlimited Users
  • Unlimited Reports
  • Electronic Signature
  • reCAPTCHA
  • Accept Payments
  • Form Scoring*
  • Pagination

Tier 3

$75/month

  • Phone Support
  • Up to 6 forms
  • 1500 submissions per form
  • 250 fields per form
  • Unlimited Users
  • Unlimited Reports
  • Electronic Signature
  • reCAPTCHA
  • Accept Payments
  • Form Scoring*
  • Pagination
  • Accept File Uploads

* $75 Account Activation

* Additional fees for account activation, form scoring and file upload apply.

Enterprise Level with API available upon request.

Frequently Asked Questions

Yes! We provide an easy copy/paste code option to have your forms integrated into your own web site. The data and admin area is still on our secure servers where you will login to view your form submissions.

Practis Forms can be branded to match the look and feel of your website. Options include selecting desired colors and adding your logo or simply embedding forms to your existing website.

You can create as many forms as you need.

Our standard Tier 1 pricing includes up to 500 submissions, Tier 2 is 1,000 submissions per form, per month and Tier 3 is 1,500 submissions per form, per month. Need more? Contact us for pricing Contact us for pricing

Our servers are managed 24x7, 365 and located in a SOC 2, Type II audited facility that is located in the U.S. With 256 bit SSL encryption, Practis Forms safeguards your submission data. Your data is stored in an encrypted format in a separate database server. Our entire physical network sits behind a dedicated firewall and a threat monitoring tool. In addition to implementing features that increase security, we maintain best security practices to ensure your data remains secure.

We provide you with three easy options to export your data including printing to pdf, then uploading that file into your EMR/PMS, exporting your collected data to Excel or .CSV format and then importing into your internal system(s).

Unfortunately, no. Only covered entities (the actual practice) are allowed to sign up for Practis Forms.

Yes! Once Practis activates your account, you can build your forms directly. If you prefer, for an additional fee, Practis can also build your forms for you.

Yes! Our Tier 3 levels include HIPAA compliant secure file upload via integration with Dropbox Business.

For secure file upload, is there a file size limitation or a limit to the number of files that may be uploaded per submission? Practis Forms allows for up to 5 file uploads per form submission and up to 2 MB per file in size. Currently 'doc', 'docx', 'odt', 'pdf', 'ppt', 'rtf', 'txt', 'xls', and 'xlsx' files types are allowed.

Forms are website (domain) specific. Each website would need a separate account.

No. There are no long term contracts. If you wish to suspend your forms, we only need an advanced 30 day written notice.

Your data will be stored in our system up to 30 days. When you delete a submission, or when you delete your account, the information is deleted from our servers.

Layout of completed form submissions is set by the application itself and cannot be customized on a form by form basis. As an option, data can be exported in a .XLS or .CSV format.

User management allows for multiple users to log-in to the same account. Based on specific user permissions, each email address (user) is assigned to view specific form. For example, front desk staff can only have access and view appointment requests whereas medical records staff may only access patient registration and or medical history form results.

There are no additional fees assessed for additional users.

Yes. The Client Admin would manage user access specific to each form.

Example: A customer service form can only be viewed by service and an admission packet can only be viewed by admissions staff.

No. You cannot use the forms on more than one website. Each Practis Forms subscription is for one URL (website). Should you need to use your form(s) on additional website(s), a separate subscription per website would be needed.