Prefilled Forms

Send Prefilled Financial Contracts, Consent Forms, and More.
Prefilled HIPAA Compliant Forms
Prefilled HIPAA Compliant Forms

Prefill Your Forms With Patient-Specific Information

Need the option to prefill patient-specific information on your forms before sending? Financial agreements and consents? Customized procedure forms? No problem.

You can send prefilled forms directly to your patients, have them securely sign and submit back to you. Fill out your forms with the exact information needed for the patient, click ‘Send’, and your forms are ready for the patient to sign and return directly to you.

Prepopulate Contracts, Service Agreements, Consent to Treat, and More

Configure your contracts to be prefilled with the pricing and terms before sending to your patient.

Modify your ‘Consent to Treat’ form based on the procedures and treatments that will be given to the patient. Create fully customizable service agreements that are built on a per-patient basis with prefilled forms.

Prefilled HIPAA Compliant Forms

Build a HIPAA compliant form for free

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Securely Send PHI in a HIPAA Compliant Form

Protect your patient’s custom, prefilled agreements by password protecting your documents. Your account is protected with all of the administrative, technical, and physical safeguards to maintain HIPAA compliance.

PHI is encrypted with a 128-bit secured connection and all data is encrypted in transit and at rest. A Business Associate Agreement is included with your service.

Send a Text Message and Email Reminder

When sending prefilled forms to a patient, send appointment reminders directly to the patient’s phone via text message and email simultaneously. Patients easily have access to fill out your prefilled forms from the text message and email by inputting a password protected code.

Prefilled HIPAA Compliant Forms
Schedule a consultation with us to learn more

FormDr gives your practice everything needed to easily send and receive HIPAA compliant online forms. We help practices who:

  • Are having patients fill out paper forms during the appointment
  • Are emailing patients a PDF or Word Doc to print out, fill out, scan, and send back
  • Are spending time manually printing and scanning paper forms

Discover More Form Features

Setup HIPAA compliant online forms, streamline your process of collecting information from patients.
Mobile Friendly Forms

Mobile-Friendly Forms

Easily build fully-responsive medical forms online that allow your patients to sign and submit on any device, anywhere, at any time.

Required HIPAA Compliant Form Fields

Required Form Fields

Always get the information you need with required fields. Patients can only submit when they complete all of your required fields. Never receive an incomplete medical form again.

HIPAA Compliant File Upload

File Attachment Upload

With file upload fields, your patients can upload their prescriptions, x-rays, medical records, insurance card photos and more with their form submission.

HIPAA Compliant Online Intake Forms

HIPAA Compliant Online Intake Forms

Emailing new patient intake forms risks the interception of PHI. FormDr is HIPAA compliant, all patient data is encrypted in transit and rest. A Business Associate Agreement is included with your account.