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
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 forms online, streamline your process of collecting information from patients.
  • Intake Form Packets

    Combine multiple pages into an online form packet. Have your patients fill out their medical history, consent to treat, and demographics all in one new patient intake form packet.

  • Export HIPAA Compliant Forms to CSV

    Export Form Submissions to Excel

    Export multiple patient forms into a Microsoft Excel compatible CSV file. Take control of your patient data with a bulk export, and import your complete patient forms into a database, excel spreadsheet, or EHR.

  • HIPAA Compliant Online Form Submission

    HIPAA Compliant Form Submissions

    Patients sign and submit forms securely to your online account. Review and manage completed patient forms before the appointment.

  • HIPAA Compliant Email Forms

    Email Invitations

    Send an email invitation to your patients to complete your forms. Give patients the freedom to sign and complete forms with any device, anywhere.

  • HIPAA Compliant Text Message Appointment Reminder

    Patient Appointment Reminder

    Schedule automatic reminders to your patients to complete your forms before their appointment. Get more completed forms online before the scheduled appointment.

  • Card Photo Uploads

    Have your patient take a picture of their insurance and ID cards. New patients will automatically upload a photo of their card information, so you can verify it before the appointment.

  • HIPAA Compliant Form Kiosk

    Kiosk Form Page

    Configure a HIPAA compliant form kiosk page to display new patient registration forms, consent forms, and more.

  • Required HIPAA Compliant Online 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 Website Forms

    Embed Forms on Website

    Embed your forms directly on your website for a seamless experience for your patients. Your forms are customized with your logo, brand, and styling to match your site. Embed on Wordpress, Wix, Squarespace, and many more.

  • HIPAA Compliant Online Forms on iPad

    Forms on iPads or Tablets

    Give patients the option to sign and complete forms online with an iPad or tablet. Online forms work on all tablets and iPads.

  • HIPAA Compliant Prefilled Forms

    Prefilled Forms

    Send a prefilled contracts, agreements, and forms to have patients securely sign forms customized for them. Create financial contracts with pricing specific to the patient.

  • 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.

  • HIPAA Compliant Forms Text and Email Invitations

    Text Message Invitations

    Send a text message invitation to your patients to complete your forms. Give patients the freedom to sign and complete forms with any device, anywhere.

  • HIPAA Compliant Conditional Logic Forms

    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.

  • Export HIPAA Compliant Forms to PDF

    Export Form Submissions to PDF

    Quickly export complete patient forms to a PDF file. Save completed forms as a PDF to quickly attach patient records.

  • Autocomplete Forms

    Have your patient enter information once and have it autocomplete throughout your medical form online. Automatically populate PHI directly into additional fields and medical consent forms.

  • HIPAA Compliant Electronic Signature

    HIPAA Compliant Electronic Signatures

    Collect electronic patient signatures before the appointment. Easily give your patients the ability to digitally sign from their phone, tablet, or computer.

  • 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.