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

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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

Book a Free Consultation

Schedule a consultation with us to learn more

FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. 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.
HIPAA Compliant Form Builder

HIPAA Compliant Form Builder

Easily build HIPAA compliant online forms. No coding is required to create secure online intake forms for your patients. All patient form submissions are encrypted in transit and rest. A Business Associate Agreement is included with your service.

Conditional Logic

Conditional Logic Forms

Only show information that is relevant to the patient with conditional logic forms. Make it simple for your patients to complete your forms and improve the accuracy of the data you receive with conditional logic.

Custom Thank You Page

Custom Thank You Page

Create your own custom ‘Thank You’ page to direct patients to upon completion of your forms. Forward them along to the next steps of your intake process.

HIPAA Compliant Submission Audit Logs

Submission Audit Logs

Form submissions have a detailed history that can always be referenced. Audit logs cannot be changed and the history from all users is tracked.