Easily transform your inefficient paper forms into secure online forms.

Mediprocity’s secure forms transform your company's paper forms into HIPAA-compliant, secure web forms with a secure web link accessible from anywhere. Go contactless and paperless today!

Expedite form completion and optimize patient care.

Mediprocity secure forms eliminates the chaos of paperwork allows you and your team to focus on patient care, without jeopardizing data quality or wasting time with tedious filing.

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Download our Secure Forms overview flyer (PDF) for more details!

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Forms are available on any mobile device, tablets, and even your desktop.

When face-to-face isn't possible, how do you handle forms?

Especially because of Covid-19, contactless communication and social distancing are a priority. Send a link to a secure form to anyone – employees, visitors, internally – and capture or share information instantly, with less risk.

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Securely capture sensitive patient data on any device, anywhere

Mediprocity’s secure forms digitizes your healthcare forms in minutes for HIPAA-secure use on phones, tablets and computers. Accelerate patient intake and processing by digitally submitting, storing, and sharing forms. Other popular forms include:

  • admissions
  • bed holds
  • HIPAA release forms
  • assignment of benefits
  • insurance verification
Get more information

Even More Features for Secure Forms

  • Save progress & return later functionality
  • Accessible from any device
  • Customize forms with your logo & colors
  • Legally-binding “ink” signatures
  • Confirmation when form is completed
  • Export as PDF, XML, Excel, CSV and SQL formats
  • Archived per HIPAA and HITECH guidelines

All-In-One Secure Messaging, Forms and Rx Ordering Solution

Get started for free today with a 14 day trial. No credit card required.