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Encrypted Forms and e-Signatures

Create secure web forms that work as hard as you do

Hush™ Secure Forms lets you build HIPAA-compliant web forms that reduce your administrative burdens. So you can stay focused on client care.

Forms Hero

Your current forms aren’t serving your practice or your clients

PDFs:

  • Pre-sized fields cause clients to run out of space
  • Clients often struggle downloading, saving, and sending
  • Typed vs. handwritten responses add different admin burdens
  • Clients often call asking for technical help filling out forms
  • Forms sometimes come back illegible or incomplete
  • No way to create assessments that calculate scores
  • Using Adobe for client signatures might not be HIPAA-compliant

Most web form builders:

  • Start at $99/month for HIPAA-compliant forms
  • Not made with healthcare customers in mind
  • No way to add body charts
  • No option for self-scoring questionnaires
  • Minimal customer support on most plans
  • Either too limiting or “too many bells and whistles”
  • One extra piece of software to manage, in addition to email

And let’s not get started on traditional paper forms.
Is there anything more painstaking?

“Much more readable than Adobe”

Opening Quote Mark

We were pleasantly surprised with the user friendly Hushmail forms, backed up by excellent customer support … They are quite professional in appearance, much more readable than Adobe, and a cinch to edit. They seem also to encourage our patients to … provide more robust and usable information … And the added bonus of scorable clinical questionnaires is icing on the Hushmail cake.

Howard Bierenbaum
Howard Bierenbaum
PhD, President, Newport News, VA

Your passion is client work, not paperwork

And yet, forms are a necessary part of your client’s journey with you.

With Hush™ Secure Forms, you can build forms for your key touchpoints. Collect client information and signatures easily and securely — and keep your private practice moving.

e-signable
privacy

Secure file transfer forms that protect sensitive documents

relationships

Contact forms that start a conversation of trust

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Assessment forms that calculate scores

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Intake forms that are easy for your client to fill out

Include these and many other forms in your practice. Make any form e-signable:

  • Good Faith Estimate
  • Request an appointment
  • Client consent forms
  • Client referral forms
  • Client experience surveys
  • Diagnostic forms with built-in scoring
How it Works

Build forms with a “drag and drop,” even if you’re not tech savvy

Drag-and-Drop Builder

Choose from 15+ fields and drop them right into your form

Our form builder gives you more than just the regular fields (like Name, Date, Short Text, Long Text). The panel allows you to add special fields like:

  • E-Signature
  • Body chart
  • File upload
  • Dropdown list
  • Checkbox list
  • Date

So you can collect precise, accurate, and complete information from your client.

Drag-and-Drop Builder
Form Template Library
Form Template Library

Start with ready-to-go templates for therapy and healthcare

Choose from templates designed specifically for your type of practice, like:

  • Intake forms for therapy, dental, massage, or chiro
  • PHQ-9 and other questionnaires
  • PTSD Checklist for DSM-5
  • Alcohol Use Disorders Identification Test (AUDIT)
  • Request an Appointment, common in behavioral health

You can use templates “as is” or customize them.

Our form template library continues to grow as we get feedback from our customers!

Electronic Signatures

Add a legally binding e-signature field to any form

E-signatures on your secure web forms comply with ESIGN and UETA. That means they’re legally binding just like handwritten signatures.

Your forms have a time-stamped activity. So you always know when a client has (or hasn’t) signed.

Each web form you create allows you to see the exact date and time:

  • You sent the form to your client
  • Your client viewed the form
  • Your client completed, signed, and submitted the form

So you can keep track of your paperwork without scribbling notes on a sticky pad.

Electronic Signatures

“Provide patients the peace of mind that their information is secure”

Opening Quote Mark

In addition to providing the email needs that are required for HIPAA compliance, they also provide easy-to-embed forms like Appointment Requests and Review of Systems ... Not only are the forms HIPAA-compliant but they also provide patients the peace of mind that their information is secure.

Kevin L. Gee
Kevin L. Gee
OD, FAAO, Missouri, TX
Embed, Link, or Attach your Forms

Make your forms impossible to miss and a breeze to fill out

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Publish a secure form on your website

Contact forms and request-an-appointment forms are great ones to put on your website. They’re secure and HIPAA-compliant.

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Share your secure form as a link

Include your contact form link in your profile on online directories like Psychology Today. For a safe, direct way to reach you.

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Add a secure form to an outgoing email

Start by composing an email, then add the form after. Or start with a form, then hit “Compose” to add it to a new email.

Encrypted and Secure

Don’t just collect — but protect — your clients’ responses

Enjoy all the same security features you’ve come to expect from Hushmail.

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Built-in encryption

Our secure forms are automatically encrypted. So you can’t accidentally forget or make a mistake.

BAA
Supports your HIPAA compliance

With a Hushmail for Healthcare plan, the forms you build are HIPAA-compliant, just like your email.

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Continue your conversation securely

Your client’s response goes right into your secure inbox, where you can reply and carry on your private discussion.

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Upload PDF copies to your EHR

Every time your client submits a form, you also get a PDF copy attached in the email. Many customers like to upload that PDF to their electronic health record (EHR) software.

Done-for-You Form Building Service

Get us to turn your paper and PDF forms into secure web forms

For only $25 per form:

Customer Care will build your secure web forms exactly the way you want them.

Our done-for-you form building service is perfect if you’re busy launching your practice or going through a big transition.

If you’re already a Hushmail customer, get started by sending a quick message to Customer Care.

How it works:

  1. 1.

    You give us the form(s) you’re currently using in your practice.

    forms-you-are-using
  2. 2.

    You get a dedicated Customer Care rep to oversee the service and answer questions.

    dedicated-customer-care-rep
  3. 3.

    You end up with custom secure web forms that are easy for your clients to fill out.

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Support via email and phone to help you with your secure web forms

Rated 5 out of 5 stars
Paris Morra

Mahsa made all the difference!

I would have been completely lost without Mahsa's help! She was so patient and quick to respond to my numerous questions (which spanned several days). She was kind, creative and so willing to assist. When I was confused about how to do something, she actually made a video specifically for me with my uploaded form which she narrated to walk me through making updates. And she even added in that if she wanted me to fix it from her end, even though I had the walk-through, she would be happy to do so. What an absolute gem! I would highly recommend Hushmail - best customer service around!

Rated 5 out of 5 stars Invited Invited
Dwayne Coots

Fast - secure - and well supported

Hushmail for Healthcare is a high value service that is affordable. We are able to use it for encrypted HIPAA compliant web forms and email with PDF attachments included so practitioners can upload docs right to EHR.

The features are no nonsense, but easy to use. The included form builder is robust with plenty of input types - including signature processing. At first I balked at the per-form fees but honestly, their pricing is the best in the space.

Build forms that build up your practice

  • Plans with HIPAA-compliant forms at $14.99+ per month
  • Encrypted the same way as email
  • A form for every part of the client journey
  • Multiple ways to publish or share your forms
  • Timestamped activity record on e-signable forms
  • Use with email templates
Build Forms
  • Drag-and-drop builder
  • Customizable with 15+ fields
  • Add e-signature fields for binding client signatures
  • Form template library with ready-to-go templates
  • Optional done-for-you form building service
  • Support via email and phone on every plan

Not sure if Hushmail is right for you? Sign up for 14 day free trial, build your first secure web form, and see what you think.

  • Money Back - 60 Day Guarantee
  • No Fixed Contract
  • TLS and OpenPGP Encypted
  • Live Support
  • BBB
  • HIPAA
FAQ

Questions?
Let’s see if we can help clear things up!