Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more.
Build custom HIPAA-friendly medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe.
Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.
Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and Authorize.net. You won’t have to pay any additional transaction fees.
Our HIPAA compliance features encrypt form submission data automatically, guaranteeing the privacy of your patients'’ health information.