HIPAA Form Pricing
MONTHLY
YEARLY
DEVELOPER SANDBOX ACCOUNT
For Developers, Web Designers and Those Supporting Health Care Professionals
FREE
FREE
Select and Continue
Select and Continue
HIPAA Compliant
Published Forms
100
Team Size
10
Form Submissions
300 / month
Cloud Storage
1 Gb
Free Form Conversions
1 / month
Drag & Drop Form Builder
Online Forms Styling
Share and Embed Online Forms
HIPAA Compliance and Security
Business Associate Agreement
Accessibility Mode
Email Notifications
Form Submissions Management
Audit Logs
Webhooks
PayPal Integration
Stripe Integration
Form Packet
Save and Continue Later
REST API
HIPAAsign
24/7 Support
SIMPLE COMPLIANCE GOLD
For Single Practitioners Who Need a Simple Form Solution
$34
$29
per month, billed monthly
30-day free trial
per month, billed annually
30-day free trial
HIPAA Compliant
Published Forms
5
Team Size
5
Form Submissions
500 / month
Cloud Storage
1 Gb
Free Form Conversions
1 / month
Drag & Drop Form Builder
Online Forms Styling
Share and Embed Online
Business Associate Agreement
Email Notifications
E-signatures
Form Submission Management
Audit Logs
24/7 Support
Maximum Fields per Form
50
Accessibility Mode
Webhooks
PayPal Integration
Stripe Integration
Form Packet
Save and Continue Later
REST API
HIPAAsign
Whitelabel
SIMPLE COMPLIANCE GOLD PLUS
For Single Practitioners Who Need Advanced Functionalities
$45
$39
per month, billed monthly
30-day free trial
per month, billed annually
30-day free trial
HIPAA Compliant
Published Forms
10
Team Size
10
Form Submissions
1,000 / month
Cloud Storage
2 Gb
Free Form Conversions
2 / month
Drag & Drop Form Builder
Online Forms Styling
Share and Embed Online
Business Associate Agreement
Email Notifications
Form Submission Management
Audit Logs
24/7 Support
Maximum Fields per Form
100
Accessibility Mode
Webhooks
PayPal Integration
Stripe Integration
Form Packet
Save and Continue Later
REST API
HIPAAsign
Whitelabel
SIMPLE COMPLIANCE PLATINUM
Single Practitioner or ACE and OHCA Practices with a single location
$125
$99
per month, billed monthly
30-day free trial
per month, billed annually
30-day free trial
HIPAA Compliant
Published Forms
30
Team Size
200
Form Submissions
2,000 / month
Cloud Storage
6 Gb
Free Form Conversions
3 / month
Drag & Drop Form Builder
Online Forms Styling
Share and Embed Online
Business Associate Agreement
Email Notifications
E-signatures
Form Submission Management
Audit Logs
24/7 Support
Maximum Fields per Form
Unlimited
Accessibility Mode
Webhooks
PayPal Integration
Stripe Integration
Form Packet
Save and Continue Later
REST API
HIPAAsign
100 / month
Whitelabel
Do you manage multiple healthcare websites?
Contact us to receive flexible multi-location plan with centralized billing and white label features.