HIPAA-Compliant Online Forms

Collect sensitive patient information safely and securely. Building a HIPAA-compliant form with Forms just takes a couple of minutes, and zero technical skill.
Forms - Collect sensitive patient information safely and securely. Building a HIPAA-compliant form with Forms just takes a couple of minutes, and zero technical skill.

The easy and secure way to collect sensitive patient information.

Create secure and compliant forms

Create secure and compliant forms

HIPAA-compliant forms mean your sensitive patient data is protected by the highest security and encryption standards.

Quickly create and embed mobile-friendly, HIPAA-compliant forms.

Easy-To-Use

Quickly create and embed mobile-friendly, HIPAA-compliant forms on your website, including patient registrations, satisfaction surveys, and more.

Gather accurate data with form field validation

Gather accurate data with form field validation

Auto-verify form fields to get clean, error-free data on credit cards, emails, phone numbers, and more. You’ll never need to correct a submission or ask someone to re-submit a form ever again!

More features

Build smarter forms

Automatically show or hide questions on a form based on a person's previous answers. Create a more personalized experience by letting users skip irrelevant questions.

Optimize for mobile

Build fully responsive forms that automatically adjust to any device. No coding necessary!

Capture signatures on any form

Use this feature on contracts, employment offers, medical releases, financial documents, and more.

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A tour of Zapclinica just for you - how it works, and how it can meet your needs.

Part of the Zapclinica platform

Zapclinica helps you managing your clinical trial, reduces the time to market, the cost, and the burden to run a successful clinical trial by operationally streamlining every task in an all-in-one platform.

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