Easily create forms to engage with your patients.
Unlimited forms. No setup fees. $99/month.
Patients expect to be able to communicate with their providers electronically, but security concerns make this difficult. Federal electronic medical records rules mandate electronic communications, but provide no solutions that are cost-effective.
Cognito Forms solves these problems by making it easy to build HIPAA-compliant forms for new patient registration, appointment scheduling, refill requests, patient satisfaction surveys and even online bill payment. All of these great capabilities are available, including unlimited forms and unlimited entries, to organizations on our Enterprise plan.
Explore the possibilities
Your forms and data are accessed over HTTPS 100% of the time.
Your data is secure and encrypted at rest.
Business Associate Agreements (BAA)
See our sample standard agreement.
Automatic System Logoff
After a period of inactivity, the system will timeout and automatically log you off.