HIPAA-Compliant
Website Forms for
Dentists
Secure patient data intake with military-grade encryption. We provide clinical-level protection for your digital front door, ensuring every patient submission meets federal standards without sacrificing user experience.
Contact Us to Learn More →
Most dental website contact forms are not HIPAA compliant. If a prospective patient submits their information — including their name, phone number, and reason for calling — that data constitutes PHI and must be handled accordingly.
Our HIPAA-compliant website forms are built to capture patient intake information safely, with proper data handling, BAA coverage, and secure transmission.
Form Pricing
Our forms are priced affordably for practices of all sizes. Contact us for current pricing and to discuss your specific needs.
Get a quote →What's Included
- HIPAA-compliant form hosting and submission handling
- Business Associate Agreement (BAA) included
- Secure encrypted data transmission
- Integration with your existing website
- Email notifications for new submissions
- Optional CRM integration
Is Your Current Form HIPAA Compliant?
Most standard contact forms — including those built into popular WordPress themes and page builders — are not HIPAA compliant. Common issues include:
- Form data stored in unencrypted WordPress database
- Notification emails sent via non-BAA email providers
- Third-party plugins without BAA coverage
- No audit logging of data access