Online Refill Forms for Pharmacies

Simplify and Automate Your Refill Forms.TRY IT FOR FREE FOR 30 DAYS
Pharmacist With Online Rx Form

Simple forms for simple tasks!

Prescription refill forms are some of the simplest HIPAA-Compliant forms there are. Don't overpay for an over-engineered form builder, get HIPAAtizer, the easy to use and always HIPAA-Compliant form builder!SEE PRICING
Online Prescription Form

Trusted by Pharmacies Across the Nation

HIPAATIZER'S FORMS ARE SO SIMPLE!Our customers appreciate the convenience, and our staff loves the efficiency it brings. A must have for any pharmacy!Heather A., Pharmacy Manager
OUR PHARMACY'S TRANSITION TO HIPAATIZER WAS SEAMLESSTheir customer support guided us through the process, and we couldn't be happier with the results.Susan L., Registered Pharmacy Technician

Experience Our Forms in Action

Curious about how HIPAAtizer's online forms work? Try our interactive medication refill form demo to see how simple and secure the process can be for both your customers and your pharmacy staff.
Prescription Refill Form
Prescription Refill FormTRY IT OUT
Prescription Transfer Form
Prescription Transfer FormTRY IT OUT

Start Your Free Trial Today

Experience the convenience and security of HIPAAtizer's user-friendly, HIPAA-Compliant forms for your pharmacy. Save time, enhance customer service, and streamline your operations with our efficient solution.

Seamless Integration with Your Pharmacy's Existing Systems

With HIPAAtizer's RESTful API, our forms can be easily integrated with popular Pharmacy Management Software systems and Electronic Health Record (EHR) and Electronic Medical Record (EMR) software, ensuring a smooth and hassle-free implementation.
Compatible Systems
PIONEER RX
PIONEER RX
COMPUTER RX
COMPUTER RX
LIBERTY SOFTWARE
LIBERTY SOFTWARE
DRX
DRX
DANWINS
DANWINS
And various other EHR/EMR software.Integration Options
WEBHOOKSReceive real-time notifications and updates when form submissions occur.
REST APIUtilize our flexible API for custom integration with your pharmacy's systems.
FORM SUBMISSION FILE SYNCAutomatically synchronize form submission files with your RX system, streamlining data transfer and record-keeping.
Supported Submission Formats
PDFPDF
JPEGJPEG
XMLXML
JSONJSON
Don't have a tech specialist to help with the integration?Our developers can do it for you!Free for our Gold Compliance Plus and Platinum package clients.

Frequently Asked Questions

Is HIPAAtizer certified as HIPAA-Compliant?
Yes, HIPAAtizer is certified by an independent auditor for HIPAA Compliance, ensuring that our platform meets the necessary security and privacy standards. The HIPAAtizer platform has all the necessary security protocols in place to ensure that our clients will always be managing data and information in a secure environment while using the application. In addition, we have Business Associate Agreements in place with all of our Covered Entity clients to ensure full HIPAA Compliance.

Ready to Simplify Your Pharmacy's Online Form Management?

Experience the convenience and security of HIPAAtizer's user-friendly, HIPAA-Compliant forms for your pharmacy. Save time, enhance customer service, and streamline your operations with our innovative solution.
HIPAA Seal of Compliance Verified