Give your patients the freedom to complete insurance forms with any device, anywhere. Streamline the way you collect vital information and intake forms by setting up your form online.
Easily personalize this insurance form template with a HIPAA compliant form builder.
Still scanning your patient’s insurance card? Simplify your insurance intake by allowing your patient to take a picture of their insurance and ID cards directly to your forms online.
New patients will automatically upload a photo of their information, so you can verify it before the appointment. Save time by collecting information via card photo uploads online and having patients submit your forms directly to you.
Start saving time and money with FormDr
The insurance form can be completed by a patient as part of the intake process or any time insurance coverage changes. It requires all necessary information to contact, confirm coverage, and bill the insurer.
Today, approximately 90% of U.S. residents have health insurance with significant gains in health coverage occurring over the past 5 years. Health insurance facilitates access to care and is associated with lower death rates, better health outcomes, and improved productivity.
The liability falls on you to handle patient data in a compliant way. Patient privacy is a serious topic, legislation from the Health Insurance Portability and Accountability Act to the Patient Protection and Affordable Care Act place heavy fines on medical professionals who mistreat patient information.
A medical release form does not empower your staff to share patient information with just anyone. Depending on what is included in the form, the document may release medical information to the patient’s family, other doctors, insurance providers, attorneys, or anyone who may make healthcare decisions on behalf of the patient.
Ask your patient for a driver’s license with their signature. Confirm that the correct person has signed your forms by comparing the signature on the forms with the signature on the driver’s license.
Add an extra level of security and compliance by verifying your patient’s signature.
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.
With file upload fields, your patients can upload their prescriptions, x-rays, medical records, insurance card photos and more with their form submission.
Automatically send FormDr data to Google Sheets for sorting, searching, and analytics. Use your electronically collected data to keep the practice running smoothly.
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.
FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who: