A HIPAA compliant contact form is a web form designed to securely collect and transmit protected health information (PHI).
Every Paubox customer has access to their own secure contact form, at no extra charge. It’s a great way for your website visitors to send you encrypted messages or for patients to electronically share information without relying on a fax machine.
You can link your unique contact form URL anywhere on your website, and responses will be delivered in a HIPAA compliant manner straight to your inbox. The contact form link is hosted on our encrypted Paubox platform, so you don’t need to worry about having a HIPAA compliant website.
How am I saving $1,188 a year with the Paubox Secure Contact Form?
Jotform is an example of an online form provider. If you want to use their service and be HIPAA compliant however, you’ll need to upgrade to the Jotform HIPAA plan, which starts at $1,188 a year.
How do I setup my Secure Contact Form?
Here’s how to setup your own Secure Contact Form, which is freely available to all Paubox customers:
- Sign in to the Paubox Admin Panel
- In the left menu pane, click on Overview
- Next, click on the Domain Settings tab
- There are four settings you can configure for your Secure Contact Form:
- Secure Contact Form Name. Use a single word here. For example, if your company name is Acme, enter acme.
- Secure Contact Form Recipient. When people use your Secure Contact Form, where should the form be sent to? All form submissions are encrypted by Paubox.
- Upload Logo. Upload your logo here to personalize your Secure Contact Form. By default, the Paubox logo will be displayed.
- Logo Link. After you’ve uploaded a logo, you can use this field to hyperlink it to your website.
- Click Save.
Presto! You have your own Secure Contact Form.
As an example, here’s what our Secure Contact Form looks like:
Naturally, the Paubox Secure Contact Form is mobile responsive:
