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The HIPAA Authorization Form

This digital HIPAA release form is a perfect foundation for your patient intake processes and is easy to customize to fit your business needs.

*Our HIPAA-secure offering is available as an add-on to your subscription at just $15/mo. Try This Template

Customize your HIPAA release form

Use the GoFormz drag-and-drop form builder to customize your form fields, add graphical elements, and include branding.

Customize your online forms with the code-free GoFormz Template Editor.
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Maintain compliance with electronic signatures

Privacy concerns with paper forms can be a thing of the past with easily accessible and HIPAA-secure electronic signatures.

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*Our HIPAA-secure offering is available as an add-on to your subscription at just $15/mo. Sign Up Free

Securely route form data anywhere

Use GoFormz automations to route your release form data anywhere it needs to go, including connected Cloud storage platforms.

Access your forms online and through mobile apps with GoFormz.
invoice signature image, a map field, and an electronic signature.

Flexible authorization form access

Whether your new or existing patients are visiting in-office or filling out forms on personal computers and mobile devices, GoFormz offers an option for everyone.

Learn more about GoFormz HIPAA compliance

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Read the Quickstart Guide

Rapidly collect new client information with the digital intake form template.

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