Affordable, Secure HIPAA Forms for Your Practice
For just $97/mo, stop paying “per-user” fees. Collect PHI online with unlimited forms, unlimited staff, and zero hidden fees.
A HIPAA compliant form builder fully managed by the security experts at HIPAA Vault. Ironclad protection that keeps your budget—and your patients—safe.
Trusted by 1000+ customers
Why Practices Choose HIPAA Vault Over JotForm
Other tools weren’t built for healthcare. We are.
 |
 |
 |
|
|---|---|---|---|
| Starting Price (Monthly) | Regular Price $194 $97 |
~$99 | Free (Not Compliant) |
| Included Users | UNLIMITED | 1 User Only | N/A |
| Signed BAA | INCLUDED | Included | |
| Encrypted Medical Forms | |||
| Submission Limit | UNLIMITED | Capped (10k) | Unlimited |
| Support Response | < 15 Mins | 24+ Hours |
Celebrating Real Stories of Compliance Success
Secure PHI storage without the headache.
Dr. Sanchez
6
months ago
HIPAA Vault helped us pass our audit. Their forms just work – and I finally sleep at night.
John P.
a
year ago
Setup took under an hour. No code required. The Business Associate Agreement was ready right away
Clinic Manager
8
months ago
We were using standard contact forms and didn’t realize the risk. HIPAA Vault fixed it instantly
The All-In-One HIPAA Web Forms Solution
Everything you need to collect PHI online safely.
Simple, Transparent Pricing
Affordable, Secure and All-In-One HIPAA Web Forms Solution
Trusted by 1000+ customers
$194
$97
Billed Monthly
Answering Your questions
HIPAA Compliant Contact Form FAQ
Questions about HIPAA Compliant Contact Form? Give us a call at
760-290-3460!
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