Don’t run into legal troubles down the road.
Know that your website is HIPAA compliant at all times.

Did you know, if you receive any patient information online or through the Internet,
your website MUST comply with HIPAA laws?

Not sure if you are HIPAA compliant? Enter in your email address below and we will give you a FREE checkup.



We are located within the US and all of our data servers are housed within a Type II audited facility that is SOC 2 compliant. All servers are managed 365/24/7 with an SSL encryption.

user management

E-forms make it simple and easy for your practice to operate. In addition, patients prefer to fill out their information online. Once the information is filled out, you can download it.

Data Compatibility

All forms that have been saved can quickly be converted into a PDF format or CSV file and downloaded for ease.

Forms We Offer

  • Patient Registration
  • Appointment
  • Medical History Form
  • Release of Records
  • Physical Therapy Referrals
  • X-Ray Requests
  • Dental History Forms
  • Patient Satisfaction Survey


1. Signed HIPAA Business Associate Agreement

To ensure that your website meets all HIPAA requirements, we will have you sign a HIPAA business associate agreement. This protects your practice.

2. Up to Date Data Center

Our data center is located in the US and operates 365 days a year, 24 hours a day, 7 days a week. All of our serves are protected and monitored for safety.

3. FREE Demonstrations and Consultations

We offer FREE demonstrations and consultations to ensure you understand what your website needs and requires. Our demonstrations are hassle free and no obligation.

4. Easy to Use

All forms can be downloaded in PDS and CSV file formats. The forms are easy to access and download for the fastest processing.


Is an SSL Certificate Enough for HIPAA Compliance?

No. SSL encryptions help, but they do not make your entire website HIPAA complaint. You will need to follow all of the guidelines and procedures to ensure your site is protected, maintained, and monitored.

Do Your Online Forms Work with Dental Software?

You will need to ask your dental software provider if PDF and CSV files can be downloaded to your system.

Can the Forms That Are Generated Be Printed?


What Is the Pricing Like?

We charge a monthly fee of $25 per form. Each form can have up to a maximum of 100 fields. There is a $200 setup fee.

Is Yahoo Mail HIPAA Complaint?

If you have a FREE email account, no. You need to have a Business Associate Agreement signed and on file and you need to make sure that all incoming and outgoing mail is protected.

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[email protected] | 1290 Reamwood Ave. Suite # B, Sunnyvale, CA 94089 | 408-548-0349

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