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.
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.
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.
Quickly export complete patient forms to a PDF file. Save completed forms as a PDF to quickly attach patient records.
Host your HIPAA compliant online forms and PHI on a dedicated server with a FormDr White Label Enterprise account. Keep your patient’s data secure while collecting form submissions with any device, anywhere, at any time.
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.
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FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who:
Check out our free video demo to learn more about FormDr and start streamlining your patient intake process today.