PAUBOX FORMS
Collect patient data with forms that are actually HIPAA compliant
Finally, there’s a way to build forms that are HIPAA compliant and easy-to-use.
Free to use with any paid plan
![2024-02-19_SITE_HeroImages _tyler[Recovered]-1](https://www.paubox.com/hs-fs/hubfs/2024-02-19_SITE_HeroImages%20_tyler%5BRecovered%5D-1.png?width=1214&height=1091&name=2024-02-19_SITE_HeroImages%20_tyler%5BRecovered%5D-1.png)
Other services (like Jotform) charge over $1,000/year for HIPAA compliant forms
Other forms services are not HIPAA compliant unless you purchase expensive enterprise-level plans.
- With free versions, you can’t collect PHI
- Paid plans start at $1,000+ a year and only includes forms
- No BAA included on free or affordable plans
![2024-02-19_SITE_HeroImages [Recovered]-Jul-16-2024-10-43-05-1781-PM](https://www.paubox.com/hs-fs/hubfs/2024-02-19_SITE_HeroImages%20%5BRecovered%5D-Jul-16-2024-10-43-05-1781-PM.png?width=400&height=421&name=2024-02-19_SITE_HeroImages%20%5BRecovered%5D-Jul-16-2024-10-43-05-1781-PM.png)
STEP 1
Sign up for Paubox
Paubox Forms is included free when you sign up for any paid version of Paubox Email Suite, Paubox Marketing, or Paubox Email API.
“How many forms can I create?”
As many as you like! You get unlimited forms with Paubox Forms.
![2024-02-19_SITE_HeroImages [Recovered]_forms1](https://www.paubox.com/hubfs/2024-02-19_SITE_HeroImages%20%5BRecovered%5D_forms1.png)
STEP 2
Build your form
Use the easy drag-and-drop builder to create patient registration forms, appointment forms, surveys, and more. Collect PHI and remain HIPAA compliant.
"Can I collect signatures via Paubox Forms?"
Yes! You can collect signatures with time stamps.
![2024-02-19_SITE_HeroImages [Recovered]_forms](https://www.paubox.com/hubfs/2024-02-19_SITE_HeroImages%20%5BRecovered%5D_forms.png)
STEP 3
Add your form to your site
Link to your form’s unique link or embed the form directly on your website.
"Can I customize how the form looks to match my website branding?"
Yes, you can change fonts, colors, etc to match your website and brand.
STEP 4
Collect responses
Get responses sent directly to your email and view all responses in the Paubox dashboard.
"Are form responses secure?"
Yes, all form responses are housed securely and in a HIPAA compliant manner.
Collect patient data with HIPAA compliant forms (free with Paubox)
Create intake forms, appointment forms, surveys, and more
Obtain patient signatures
Customize questions and style your forms
Collect PHI without sacrificing HIPAA compliance
