Eedesy
Book Demo
HomeProductsContact
Form Builder
Overview
Pricing

HIPAA Compliant Form Builder for Healthcare

Secure, compliant forms for healthcare organizations. Create patient intake forms, medical history questionnaires, and consent forms with full HIPAA compliance, BAA, and end-to-end encryption.

View Compliance

Trusted by businesses worldwide

ShopifyAmazonStripeSlackNotionVercel
HIPAA

Compliant

Full compliance

BAA

Included

No extra cost

AES-256

Encryption

At rest & transit

SOC 2

Type II

Certified

Built for Healthcare Compliance

Meeting the highest standards for protecting patient data

HIPAA Compliant

Full administrative, physical, and technical safeguards as required by HIPAA. Annual compliance audits and training.

BAA Available

Business Associate Agreement included with all healthcare plans. Signed before you handle any PHI.

End-to-End Encryption

AES-256 encryption at rest, TLS 1.3 in transit. Data stored in SOC 2 Type II certified facilities.

Healthcare Form Solutions

Secure forms for every healthcare workflow

Patient Intake

Collect demographics, insurance, and medical history before visits.

Medical History

Comprehensive health questionnaires with conditional logic.

Consent Forms

HIPAA authorization, treatment consent, and e-signatures.

Telehealth

Registration and consent forms for virtual care.

Secure Healthcare Form Features

Everything you need for compliant patient data collection

AES-256 Encryption

Military-grade encryption for all patient data.

Access Controls

Role-based permissions for staff access.

Audit Logging

Complete audit trail for all data access.

E-Signatures

Legally binding electronic signatures.

EHR Integration

Connect to Epic, Cerner, Athenahealth.

Conditional Logic

Dynamic forms based on patient responses.

Pre-Visit Forms

Patients complete forms before arrival.

Compliance Reports

Generate audit reports on demand.

Why Healthcare Organizations Choose Edesy

Trusted by clinics, hospitals, and healthcare systems

For Compliance

  • Full HIPAA Compliance

    All required safeguards in place

  • BAA Included

    Business Associate Agreement at no cost

  • Audit Logs

    6-year retention for compliance

  • SOC 2 Type II

    Third-party security certification

For Efficiency

  • Reduce Wait Times

    Pre-visit form completion

  • Eliminate Paper

    Digital forms save time and costs

  • Auto-Populate EHR

    Data flows to patient records

  • Patient Satisfaction

    Modern, easy-to-use forms

Trusted by Healthcare Organizations

How healthcare providers use our HIPAA compliant forms

"Patient intake time dropped 50% after implementing pre-visit forms. The HIPAA compliance gave us confidence to go fully digital."

50% Faster Intake

Healthcare

Practice Manager

"The EHR integration with Epic saves our staff hours of manual data entry. Forms flow directly into patient charts."

Hours Saved Daily

Health System

IT Director

"Finally, a form solution that understands healthcare compliance. The BAA and audit logs made our compliance team happy."

Full Compliance

Healthcare

Owner

Get Started with HIPAA Compliant Forms

From demo to deployment in days

Request Demo
See the platform in action
Sign BAA
Business Associate Agreement
Build Forms
Create your intake forms
Go Live
Start collecting patient data securely

See It In Action

Book a personalized demo with our team. We'll show you exactly how it works for your business.

30 minVideo call

Security & Compliance Certifications

HIPAA
Compliant
SOC 2 Type II
Certified
GDPR
Compliant
CCPA
Compliant

Explore More

Form Templates
Healthcare templates
For WordPress
WordPress plugin
For Shopify
E-commerce forms

HIPAA Form Builder FAQ

Ready for HIPAA Compliant Patient Forms?

Join healthcare organizations trusting Edesy for secure patient data collection

Contact Sales

Stay Updated

Get the latest updates on AI voice technology, product releases, and exclusive resources.

Get Started

Try our products for free
AI Voice Agent
Build voice AI for calls
WhatsApp AI Bot
Automate WhatsApp chats
Website Chatbot
AI chat for websites
Edesy CRM
Manage leads & customers
Book a DemoCall UsEmail Us
Eedesy

Your all-in-one platform for digital innovation. We build AI-powered solutions that transform how businesses operate.

[email protected]+91 95475 31359

Products

  • AI Voice Assistant
  • WhatsApp Voice AI
  • WhatsApp Bot Builder
  • AI Website Chatbot
  • AI-SDR
  • Number Masking
  • Shopify Apps
  • View All Products

Solutions

  • For E-commerce
  • For Healthcare
  • For Real Estate
  • For Restaurants
  • For Appointments
  • View All Use Cases

Services

  • AI Chatbot Development
  • Voice AI Development
  • Shopify Development
  • SaaS Development
  • WhatsApp API Integration
  • View All Services

Resources

  • Documentation
  • Voice Agent Docs
  • API Reference
  • Number Masking API Docs
  • Blog
  • Changelog
  • Book a Demo

Company

  • About Us
  • Contact
  • Careers
  • Privacy Policy
  • Terms of Service

Products

  • AI Voice Assistant
  • WhatsApp Voice AI
  • WhatsApp Bot Builder
  • AI Website Chatbot
  • AI-SDR
  • Number Masking
  • Shopify Apps
  • View All Products

Solutions

  • For E-commerce
  • For Healthcare
  • For Real Estate
  • For Restaurants
  • For Appointments
  • View All Use Cases

Services

  • AI Chatbot Development
  • Voice AI Development
  • Shopify Development
  • SaaS Development
  • WhatsApp API Integration
  • View All Services

Resources

  • Documentation
  • Voice Agent Docs
  • API Reference
  • Number Masking API Docs
  • Blog
  • Changelog
  • Book a Demo

Company

  • About Us
  • Contact
  • Careers
  • Privacy Policy
  • Terms of Service
  • AI Voice Assistant
  • WhatsApp Voice AI
  • WhatsApp Bot Builder
  • AI Website Chatbot
  • AI-SDR
  • Number Masking
  • Shopify Apps
  • View All Products
  • For E-commerce
  • For Healthcare
  • For Real Estate
  • For Restaurants
  • For Appointments
  • View All Use Cases
  • AI Chatbot Development
  • Voice AI Development
  • Shopify Development
  • SaaS Development
  • WhatsApp API Integration
  • View All Services
  • Documentation
  • Voice Agent Docs
  • API Reference
  • Number Masking API Docs
  • Blog
  • Changelog
  • Book a Demo
  • About Us
  • Contact
  • Careers
  • Privacy Policy
  • Terms of Service

Popular Free Tools

Compress PDFMerge PDFPDF to WordGST CalculatorEMI CalculatorSIP CalculatorJSON FormatterBase64 EncoderImage CompressorQR Code GeneratorVoice AI ROI CalculatorAmazon FBA CalculatorAI Email WriterVideo to GIFPrivacy Policy GeneratorCRM ROI CalculatorMeeting Cost Calculator
Categories:PDF ToolsDeveloper ToolsFinance CalculatorsImage ToolsVideo ToolsAI Writing ToolsAudio ToolsWhatsApp ToolsDocument GeneratorsVoice AI ToolsE-commerce ToolsView All Tools

© 2026 Edesy Technology Labs Pvt Ltd

SSL Secured
99.9% Uptime
Flexible Pricing

Healthcare Form Builder Pricing

Custom pricing for healthcare organizations. Includes BAA, dedicated support, and compliance documentation.

HIPAA Form Builder - Contact Us for Pricing
Get a personalized quote tailored to your business requirements

What You Get

Custom pricing based on your needs

No hidden fees or surprises

Flexible payment options

Volume discounts available

Free consultation & demo

30-day money-back guarantee

Get Your Custom Quote

Our team will get back to you within 24 hours with a personalized pricing proposal

Or reach out directly:

+91 9547531359

Trusted by businesses worldwide

No commitment required
Free consultation
Response within 24h