Inquiry forms - counts, not PHI
HIPAA inquiry forms that actually get used
A pretty site with a Gmail contact form is how PHI ends up in the wrong inbox. The form is part of the website job: HIPAA host, BAA, and a path into the CRM that does not print symptoms in an unencrypted email.
4,000+
Patient inquiries on the forms since 2021. JotForm HIPAA account, inquiry forms only. Dinners excluded.
300+
Medical practices on the system.
600+
Into a clinic that did not exist a year ago.
Counts only. No practice names. No event-registration totals. JotForm HIPAA Gold. API on hipaa-api.jotform.com.
What we actually set up
- Gold or Enterprise, HIPAA features on, signed BAA. The free plan is not a HIPAA form.
- Inquiry fields only on the public site. No diagnosis dump in the thank-you email.
- Integrations audited. A Zap into a consumer mailbox undoes the host.
- The same form language on the site and in the CRM, so the lead is a person, not a CSV row.
This is not legal advice and not a completed BAA. JotForm publishes the HIPAA setup. We implement the practice side.
Send the form you use now
Host, fields, and where submissions land. We will tell you what is leaking.
One call. Real numbers. No pressure.
Call/text: (817) 583-1874 - Email: chris@marketmedical.io