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Practis Forms

HIPAA compliant forms for your hospital, medical or dental practice

Automate and streamline your patient intake process. 

Key features

  • Mobile-friendly, HIPAA compliant forms that can be completed from any device including desktop, tablet and phone.
  • Forms are easily added to to any website.
  • Enhanced security, user access management, data export and more.
  • Forms are branded to match the look and feel of your current website.
  • Supports e-Signature to capture hand written signatures on your online web forms.
  • WordPress plug-in available for easy installation.
  • Practis Forms Plus – a secure HIPAA compliant file storage option that allow patients to submit their medical records and reports.

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Affordable & secure online medical and dental patient intake forms

Starting at $250 set-up and $25 per month hosting, you can add patient intake forms, online bill pay or patient consent forms to any website. We have many standard forms available or we can easily create any custom medical or dental form you need. Send us your patient forms and we take care of form set-up for you.

View Live Form  View Sample Report

secure-file-uploadPractis Forms Plus

Now with secure file upload! In addition to collecting patient data, patients can securely upload their reports, medical records and other documents. Practis Forms Plus integrates with Citrix ShareFile, a HIPAA compliant file storage solution. Contact us for pricing.

Practis Pay

Get paid faster. Now available through Practis Forms. Allow your visitors to securely pay online through your website. Practis Pay integrates with BluePay, a leading payment gateway for real-time payment processing. Learn more >