Mask PHI fields in email & prefill links

Create HIPAA Form Using Google Forms

Built for healthcare companies

Enhance Google Forms to meet HIPAA standards. Ensure data privacy and security.

Lower Extremity Functional Scale
Lower Extremity Functional Scale

For Lower limb

Keele STarT Back Screening Tool
Keele STarT Back Screening Tool

For Back

Foot Function Index
Foot Function Index

For Foot

Cumberland Ankle Instability Tool
Cumberland Ankle Instability Tool

For Ankle

Body Mass Index
Body Mass Index

For Fitness

Daily Caloric Requirements
Daily Caloric Requirements

For Nutrition

Geriatric Depression Scale
Geriatric Depression Scale

For Mental health

Neck Disability Index
Neck Disability Index

For Neck

Headache Disability Index
Headache Disability Index

For Head

Shoulder Pain and Disability Index
Shoulder Pain and Disability Index

For Upper limb

Hip Disability and Osteoarthritis Score
Hip Disability and Osteoarthritis Score

For Hip

Knee injury and Osteoarthritis Outcome Score 12
Knee injury and Osteoarthritis Outcome Score 12

For Knee

Generalized Anxiety Disorder Questionnaire
Generalized Anxiety Disorder Questionnaire

For Anxiety

Patient Health Questionnaire-9
Patient Health Questionnaire-9

For Depression

Bergen Shopping Addiction Scale
Bergen Shopping Addiction Scale

For Addiction

Alcohol Use Disorders Identification Test
Alcohol Use Disorders Identification Test

For Alcohol Addiction

Drug Abuse Screening Test
Drug Abuse Screening Test

For Drug Addiction

Buss Perry Aggression Questionnaire
Buss Perry Aggression Questionnaire

For Aggression

Mood Disorder Questionnaire
Mood Disorder Questionnaire

For Bipolar

Binge Eating Scale
Binge Eating Scale

For Eating disorder

Perceived Stress Scale
Perceived Stress Scale

For Stress

Big Five Personality Test
Big Five Personality Test

For Personality

Pain Self Efficacy Questionnaire
Pain Self Efficacy Questionnaire

For Pain

Behavioral Pain Scale
Behavioral Pain Scale

For Adult

Face, Legs, Activity, Cry, Consolability Behavioral Pain Scale
Face, Legs, Activity, Cry, Consolability Behavioral Pain Scale

For Pediatrics

Epworth Sleepines Scale
Epworth Sleepines Scale

For Sleep

Stanford Sleepiness Scale
Stanford Sleepiness Scale

For Daytime Sleepiness

Insomnia Severity Index
Insomnia Severity Index

For Insomnia

Functional Outcomes of Sleep Questionnaire
Functional Outcomes of Sleep Questionnaire

For Sleep Quality

STOP-Bang questionnaire
STOP-Bang questionnaire

For Sleep Apnea

Morningness-Eveningness Questionnaire
Morningness-Eveningness Questionnaire

For Circadian Rhythm

Psychological Wellbeing Scale
Psychological Wellbeing Scale

For Psychological

Flourishing Scale
Flourishing Scale

For Flourishing

Positive and Negative Affect Schedule
Positive and Negative Affect Schedule

For Positive affect

Meaning in Life Questionnaire
Meaning in Life Questionnaire

For Purpose in life

Satisfaction with Life Scale
Satisfaction with Life Scale

For Life satisfaction

Pearlin Mastery Scale
Pearlin Mastery Scale

For Mastery

Subjective Happiness Scale
Subjective Happiness Scale

For Happiness

Life Orientation Test
Life Orientation Test

For Optimism

Personal Growth Initiative Scale
Personal Growth Initiative Scale

For Growth

WHO Quality of Life
WHO Quality of Life

For Quality of Life

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Features

Collect patient details securely

Mark fields as protected Health Information (PHI) to secure senstive patient data and limit access to PHI when exporting

Enhance patient experience

Securely prefill patient data in the form without exposing senstive data via url, enhancing security and safeguarding patient privacy.

Setup field permissions

Mark the prefill fields as editable, read only or hidden to control customer access & prevent accidental changes in the prefilled form

Data encryption

The data collected using forms is encrypted to ensure that patient information is protected during transmission and at rest

Create intake forms easily

Choose form pre-built forms tailored for psychiatry, dermatology, podiatry, optometry, dental, paediatric, physiotherapy and more

Measurement - based care

100+ standardized assessments for mental health, pain & more to measure outcomes, diagnose conditions and track progress

Collect files

Make it easier for your patients to upload their insurance or ID cards, prescriptions, medical records & images when they submit the form

Get informed consent

Collect patient signatures to get consent for treatment, privacy notice, use of PHI ensuring compliance with HIPAA privacy regulations

Email form submissions

Automatically mask PHI when sending form responses on email to ensure patient data is inadvertently disclosed

Google Drive Integration

Automatically convert form responses into pdf files and sync them to your Google Drive when the patient submits the form

Manage patient data

View and manage responses in Google Forms or collaborate with your team members in real-time using our kanban board

Google Sheets integration

Easily keep track of form submissions using the responses dashboard and improve form completion rates with timely reminders

Embed forms on your website

Automatically sync responses to Google Sheets, providing a familiar interface for organizing and analyzing the data

Accept payments

Setup your forms to easily collect payments or get pre-authorization upfront from the patients and then collect payments post-care

Automate workflow

Streamline administrative processes and improve patient care with EHR integration to effortlessly share patient data

Customers love us

I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user.

I am not tech savvy. I chose formesign to help create registration links for clients. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!

We found in Formesign a perfect solution to collect a big amount of signatures for consent forms in a short amount of time. Our experience was great and the support team was really helpful.


From travel to healthcare organizations.
200+ organizations trust us.

Why us?

HIPAA Compliance

The Care Assessment tool is designed to be HIPAA compliant, ensuring the privacy and security of individuals' protected health information (PHI).

Prebuilt templates

We offers a prebuilt template feature, providing ready-to-use assessment templates for common care scenarios. These templates are designed based on best practices and industry standards, saving users time and effort in creating assessments from scratch.

Customizable Feedback

Our tool includes a customizable feedback feature that allows users to tailor the feedback provided to individuals based on their assessment results.