Secure Web Forms
Everything you need to make the switch to online forms
Client intake forms, satisfaction surveys, and other forms are critical to your work. But they’re not much fun to fill out, and they often come back illegible or incomplete.
Hush™ Secure Forms is our secure alternative to old-fashioned paper forms. Launch a beautiful, personalized web form for your business with our drag-and-drop form builder, ready-made templates, built-in secure web hosting and electronic signatures.
It has never been quicker to create your own customized secure web form. Simply drag fields to your form, name your fields, and click Publish when you’re done. It's that easy. You won't need to hire an expensive web developer or learn to write code.
Need some help getting started? We have a collection of templates you can use as a starting point for your form. It’s a great way to find inspiration, or to find a completed template that already works for your business.
When you publish your new form, we’ll host it for you on our secure, mobile-friendly website. Link to your secure web form from your website or send it by email. Clients can complete your form at their leisure, on their preferred device. See a sample form.
When your client completes your form, it’s delivered instantly to your secure Inbox along with an attached PDF you can upload to an EHR. Because you’re using Hushmail, you can continue the conversation by sending an encrypted reply.
We protect your web forms using the same encryption as your Hushmail email account. If you're on a Hushmail for Healthcare plan, this helps to support your HIPAA compliance.
You can set conditions to determine when a field will be visible on your form. Setting conditions makes your form responsive to your clients, giving them a more personalized experience.
Add a body chart to your form and invite patients to indicate points of pain or discomfort that they can describe in associated fields. This pinpointing ability is especially useful for healthcare practitioners such as chiropractors, physical therapists, and massage therapists.
You can put your complete form on your website and invite your clients to fill it out there. By copying and pasting a line of HTML code, you can place a form anywhere you choose and retain Hushmail’s effortless style.
We offer self-administered questionnaires in our template directory. These digital versions of popular mental health screenings deliver a score upon completion to the practitioner. PHQ-9, GAD-7, DASS, PTSD Checklist for DSM-5 (PCL-5), AUDIT, and more.
Don't have time to build your own forms? We can build your PDF, paper, or EHR forms into Hush™ Secure Forms for you. Some plans include form building for free, or it's $25 per form built thereafter. Multiple forms merged together are priced and counted separately.
Hushmail for Healthcare includes Encrypted Email and a Private Message Center with optional Secure Forms and Electronic Signatures. We'll include a signed Business Associate Agreement (BAA) and Email Archiving to help with your HIPAA compliance.
Your email address will end with @hushmail.com, @hush.com, @therapyemail.com, @counselingmail.com, @therapysecure.com or @counselingsecure.com.
Sign upYour email address will end with your own domain name @yourcompany.com. If you don't have a domain name, you can use a Hushmail subdomain @yourcompany.hush.com.
Sign upAll prices displayed are in US dollars. Taxes may apply. Full refund if you cancel within 60 days.
Hushmail for Small Business includes Encrypted Email, a Private Message Center, and an Email Archive, with optional Secure Forms and Electronic Signatures.
Your email address will end with @hushmail.com, @hush.com, @hushmail.me, @hush.ai or @mac.hush.com.
Sign upYour email address will end with your own domain name @yourcompany.com. If you don't have a domain name, you can use a Hushmail subdomain @yourcompany.hush.com.
Sign upAll prices displayed are in US dollars. Taxes may apply. Full refund if you cancel within 60 days.
Hushmail for Law includes Encrypted Email, a Private Message Center, and an Email Archive, with optional Secure Forms and Electronic Signatures. Plus, we'll sign an agreement with customers in the U.S., Canada and the U.K. to seek judicial protection for the account, if necessary, on the basis that the contents are privileged, providing extra protection for your communications.
Your email address will end with @hushmail.com, @hush.com, @hushmail.me, @hush.ai or @mac.hush.com.
Sign upYour email address will end with your own domain name @yourcompany.com. If you don't have a domain name, you can use a Hushmail subdomain @yourcompany.hush.com.
Sign upAll prices displayed are in US dollars. Taxes may apply. Full refund if you cancel within 60 days.
Hushmail for Personal Use includes Encrypted Email and a Private Message Center, with an email address ending in @hushmail.com, @hushmail.me, @hush.com, @hush.ai or @mac.hush.com. Custom email domains are not available on this plan.
The price displayed is in US dollars. Taxes may apply.
Published on September 19, 2024
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