HIPAA-Compliant Online Forms Made Easy

Trusted for years by physician offices, medical centers and regional healthcare systems, Cognito Forms makes it easy to build and manage HIPAA-compliant online medical forms.

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Go Paperless and Save Time & Money

Create fast and convenient secure online forms for patient registration, appointment scheduling, refill requests, and more.

Expand Your Services

  • Web-based Appointment and Refill Requests

    Submit appointment requests, prescription refills, and other patient inquiries directly into your EMR system.

  • Online Medical Bill Payment

    Accept credit and debit card payments with Square.

  • Enhanced Web Experiences

    Embed your form directly into your website for a seamless patient experience.

  • Streamlined In-Office Registration

    Let patients fill out registration forms electronically while they wait.

Stay Secure & Compliant

  • SSL Encryption

    Access your forms and data securely over HTTPS 100% of the time.

  • Data Encryption

    Automatically encrypt and secure your patients' at-rest data.

  • Business Associate Agreements (BAA)

    Easily navigate required legal paperwork.

  • Automated System Logoff

    Enhance in-office security by automatically logging off inactive users.

Healthcare Templates

Easily start forms from scratch, or get a jumpstart with one of our pre-built healthcare templates. Simply select and save the template you want. Then, customize it to fit your specific needs.

HIPAA FAQs

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