HIPAA Compliant Data Protection

With a commitment to safeguarding the privacy of client information, this form is compliant with the data storage standards set by the US Health Insurance Portability and Accountability Act (HIPAA) for protecting sensitive patient data and individually identifiable health information.

The form is secured by JotForm, a globally trusted provider headquartered in San Francisco. JotForm will encrypt the data right on the form and then transfer and store the data encrypted. Data is stored in JotForm’s HIPAA compliant servers which are separated from the Internet using multiple levels of protection and firewalls, and the encrypted data is stored in encrypted databases.