Jotform Health: Medical Forms 4+

Create HIPAA Compliant Form

Jotform Inc

Designed for iPad

    • 4.8 • 140 Ratings
    • Free
    • Offers In-App Purchases



Jotform Health is a secure medical form builder that lets healthcare organizations collect patient information, file uploads, e-signatures, fee payments, and more. Build custom HIPAA-friendly medical forms in minutes, complete with a Business Associate Agreement (BAA) to keep patient medical data safe. Healthcare organizations, doctors, and specialists no longer need to use messy paper forms — with Jotform Health, you can seamlessly collect the information you need from any device, online or offline, and store it in a secure Jotform account.

** Create Forms Without Coding
Building a HIPAA-friendly form with Jotform takes just a couple of minutes and zero technical skills. You can make your own form or use our professional healthcare form templates.

** Follow HIPAA Regulations
Our HIPAA compliance features encrypt form submission data automatically, guaranteeing the privacy of your patients'’ health information. You can also receive a signed Business Associate Agreement (BAA) that creates binding liability and keeps your business protected.

** Schedule Appointments
Arrange medical appointments, schedule voice or video calls, receive meeting requests, and more. Patients can easily book appointments by selecting a date and time on your form. With our Google Calendar integration, appointments booked through your form will automatically become events in your calendar.

** Obtain Informed Consent
Customize your medical form to describe your patients’ treatment, any possible risks, and their right to refuse treatment. Patients can sign your consent form with their electronic signature. You can even convert each submission into a downloadable, printable PDF!

** Accept Medical Bill Payments
Let patients pay appointment fees or medical bills directly through your forms. Connect your medical form to dozens of secure payment processors, including PayPal, Square, Stripe, and You won’t have to pay any additional transaction fees.

** Collect Patient Signatures and Files
Patients can easily sign their forms with electronic signatures and attach important medical documents, images, and other files.

** Integrate with 100+ Apps
Connect your forms and surveys to other software like G Suite and Dropboxother software to sync submissions automatically and make patient data more organized and accessible for your team.

** Enable Mobile Responses
All forms are mobile-responsive and can be filled out on any smartphone, tablet, or computer with ease. Patients can check in for their appointments, register as new patients, or update their medical history directly on your office’s device.

** Streamline Your Workflow
Organize your patients’ data. You can export form data as PDFs and automatically email them to your patients — or seamlessly integrate with other software.


** Automate Your Workflow
- Create and manage patient registration forms, consent forms, intake forms, self-assessment forms, screening forms, emergency forms, surveys, and more!
- Add conditional logic, calculations, and widgets
- Set up autoresponders to send confirmation emails and reminders
- Get notified of submissions instantly with push notifications
- Collect multiple submissions at once with kiosk mode
- Provide a touchless form-filling experience for your patients with QR codes

** Collaborate with your team
- Share forms via email, text, and other mobile apps (Facebook, Slack, LinkedIn, WhatsApp, etc.)
- Assign forms to patients or colleagues and view their responses

** Advanced Form Fields
- Appointment calendar
- GPS location capture
- QR code and barcode scanner
- Voice recorder
- Signature capture (24/-7 mobile sign)
- File upload
- Take photo

** Keep Patient Data Safe
- 256-bit SSL encryption
- PCI DSS Level 1 certification
- GDPR compliance features
- HIPAA compliance features

Privacy Policy:
Terms of Service:

What’s New

Version 2.9.56

Bug fixes and performance improvements.

Ratings and Reviews

4.8 out of 5
140 Ratings

140 Ratings

Baltimore NDL ,

Best application for any business!

Multiple options and great performance!

ZeekoReza ,


The regular jotform is ok. But the HIPAA version is a disaster. The PDFs get downloaded each time with different data. Some things on it are just not seen on the PDF.
You have login to the app and manually see the data each time. And if you want to save it well you cant because the PDF is incomplete.
We have hipaa compliant drives with BAAs. But cant even use them as the PDFs are incomplete. I regret paying for the whole year and as soon as I am done will leave.

Customer service is slow and to take care of an earlier issue I had with the functionality took 3 weeks and 20 emails. Who has time to go through this again. !!

They should tell you that app had all these restriction or bugs as compared to the regular one. Disaster.

Eazzii ,

Genius, versatility, complete and user friendly

This made a big project possible for me. Thank you!

App Privacy

The developer, Jotform Inc, indicated that the app’s privacy practices may include handling of data as described below. For more information, see the developer’s privacy policy.

Data Used to Track You

The following data may be used to track you across apps and websites owned by other companies:

  • Identifiers
  • Usage Data

Data Not Linked to You

The following data may be collected but it is not linked to your identity:

  • Identifiers
  • Usage Data
  • Diagnostics

Privacy practices may vary, for example, based on the features you use or your age. Learn More

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