Skip to content
Menu

Practis Forms

Online HIPAA compliant forms for your hospital, medical or dental practice

Affordable & secure online medical and dental patient forms

Automate and streamline your patient intake process. Starting at $250 set-up and $25 per month, you can add your patient intake forms, healthcare assessment forms and quizzes, 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.

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 website.
  • Supports e-Signature to capture signatures on your online forms.
  • WordPress plug-in available for easy installation.
  • HIPAA compliant file storage option that allow patients to submit their medical records and reports.
  • Scoring – to assign points to users’ results. This can be helpful to add conditional logic to a survey or quiz.

Sign-up Now! View Live Form View Sample Report

Practis 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.

Request pricing.

Practis Quizzes – NEW!

Online health assessments and quizzes are important tools for understanding your patient and employee’s needs.

These tools enable you to provide targeted information and solutions so that they can take action. Utilizing Practis Forms, you can now collect and score data. Whether you use quizzes for lead generation on your website and Facebook page, or internal needs like employee training, online quizzes can be a powerful part of your toolkit. Benefits include:

  • Create online health assessment forms and quizzes with no coding required
  • Data is scored within the secure application
  • All health assessments and quizzes are optimized for mobile
  • Practis Quizzes can be embedded to any website or Facebook business page

Starting at only $250 set-up and $25 per month.

Sign-up Now! View Live Quiz

Online Bill Pay

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 >