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Receive referrals securely with a simple online form

Give other providers a secure way to send client information, documents, and referral details to your practice.

  • Built to support your HIPAA compliance

  • Includes a signed BAA

  • Encrypted and confidential

Receive referrals securely
47,000+ healthcare professionals use Hushmail to communicate with clients and coordinate care securely
Secure forms

Referrals should be easy to send and safe to receive

When another provider wants to refer a client to you, they need a simple way to send the information.

But regular email, unsecured forms, and PDF attachments can add risk and create extra follow-up.

With Hush™ Secure Forms, you can create a secure referral form to collect sensitive client information while supporting your HIPAA compliance.

Refer a client form
HIPAA-compliant forms

Create a secure referral form for your practice

Not all web form tools are built for healthcare.

Hush™ Secure Forms helps you collect referral information securely, without adding complicated software to your day. With a simple drag-and-drop builder, you can create a secure referral form.

  • Add fields for client contact information, referring provider details, reason for referral, and more

  • Get peace of mind knowing all submissions are encrypted

  • Designed to support your HIPAA compliance

Create a referral intake form
Collect referral documents securely

Collect referral documents securely

Referral partners may need to send intake forms, clinical notes, assessments, or other sensitive documents.

With Hush™ Secure Forms, you can add file upload fields to your form. Submissions arrive securely in your Hushmail inbox.

That means less back-and-forth, fewer loose attachments, and a easier way to receive referrals.

Share your referral form wherever providers need it

Once your form is ready, you can make it easy for others to find and use it to refer clients to you.

Share your form via a secure link through:

  • Your website
  • Your email signature
  • A secure message sent through Hushmail
Add a secure way to receive referrals on your website

How receiving secure referrals works

add-secure-contact-form
1. Create your referral form

Use the drag-and-drop builder to collect the information you need.

inbox
2. Add secure file uploads

Let referral partners include relevant documents.

link-to-contact-form
3. Share your form

Send the secure link, add it to your email signature, or embed it on your website.

receive-submissions
4. Receive secure submissions

Referral information comes to your Hushmail inbox, helping you protect sensitive client data.

Create your referral form with a
14-day free trial

We know it's not easy evaluating a new tool. That's why you can start a 14-day free trial inside your account, send your first form, and see what you think.

Sign up for Hushmail
Have a question?

Get support from a team that knows the ins and outs of healthcare

Hushmail isn't a faceless software product. For the past 25 years, we've helped countless healthcare practices streamline their practice and support their HIPAA compliance.

If you need help getting started, creating web forms, or have questions about HIPAA compliance, our team is on hand to help.

Don't have time to create web forms?

When you sign up for Hushmail, you can choose to have our team convert your existing paperwork into secure web forms for you for a small additional fee.

Rated 5 out of 5 stars Invited Invited
Dr. Eric C. Olson

Fantastic Customer Service, Experts in HIPAA Compliance for Healthcare Providers

I chose Hushmail for its informative website on HIPAA policies for healthcare providers, and the initial discovery call with Mahsa who thoroughly answered my questions and explained their services. It was an easy process to get started, and the customer service team has been very helpful! I am glad that I chose Hushmail to help me secure protected health information in my new practice. A bonus service they offer is a form building tool that I can use for my website or to directly e-mail patients intake paperwork. Thank you Hushmail for being an important part of my team!

“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

When it comes to receiving referrals, all you need is Hushmail

  • Have secure email conversations with other practitioners to coordinate care
  • Win back your time with HIPAA-compliant forms
  • BAA agreement to support your HIPAA compliance
FAQ

If you still have questions, you're not alone. We're here to help.