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Make it easy for clients to update their insurance information

With Hushmail, you can send a secure web form that lets clients update their insurance information in minutes.

  • All submissions are encrypted and secure

  • Clients can upload insurance card photos

  • Designed to support your HIPAA compliance 

New Insurance Information form
47,000+ healthcare professionals use Hushmail to communicate with clients and coordinate care securely

Invite clients to update their insurance information in a click

Sign up for Hushmail and send this insurance update form in seconds. Compose your message, attach the form, enter your client's email, and hit send.

Insurance Information Form
Completing insurance information

Clients are taken to a secure place to update their insurance information

Once you’ve sent the form, your client receives a secure email inviting them to complete it inside Hushmail’s encrypted platform, where they can:

  • Fill out the form on any device

  • Upload photos of their insurance card

  • Ask you questions via secure chat if they get stuck

All submissions are encrypted and confidential

When you use Hush Secure Forms, every form response is automatically encrypted to give you and your clients peace of mind that sensitive information is safe and secure.

  • Built to support your HIPAA compliance

  • Export completed forms as PDFs to your billing tool

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“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

Update your client’s insurance info today with 14 days free

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

Your passion is client work, not paperwork

And yet, forms are a necessary part of your client’s journey with you.

With Hush™ Secure Forms, you can build forms for your key touchpoints. Collect client information and signatures easily and securely — and keep your private practice moving.

e-signable
privacy

Secure file transfer forms that protect sensitive documents

relationships

Contact forms that start a conversation of trust

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Assessment forms that calculate scores

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Intake forms that are easy for your client to fill out

Choose from 27+ templates designed specifically for healthcare, including:

  • Intake forms for therapy, dental, massage, or chiro
  • 13+ self-administered health questionnaires (PHQ-9,
    GAD-7, PCL 5, DASS, SCARED, AUDIT, & more)
  • Secure file transfer forms
  • Appointment request forms
  • Client feedback surveys
  • Good Faith Estimates

Our form template library continues to grow as we get feedback from our customers. Use templates "as is" or customize them.

Drag-and-Drop Builder

Or create your own form with our drag and drop builder

Hush™ Secure Forms was built specifically for healthcare. That means more than just basic fields. You can add features like body charts, secure file uploads, and legally binding e-signatures so you can streamline every step of your client journey.
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.
Drag-and-Drop Builder
Embed, Link, or Attach your Forms

Make life easy with three ways to share forms:

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Send via secure email

Enter your client’s email and send a secure form in seconds.

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Add it to your website

Publish a secure form to your website that clients can complete anytime.

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Share via a secure link

Get a shareable link to your form that you can add to your email signature, client portal, and more.

UNRIVALED SUPPORT

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.

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!

When it comes to HIPAA-compliant forms, all you need is Hushmail

Not sure if Hushmail is right for you? Start a 14-day free trial inside your account, send your first form, and see what you think.

FAQ

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