SECURE ONLINE FORMS

End the Era of Downloading, Printing & Faxing

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Forms Should Work for You, Not Against You

0%
of patients don’t have access to a printer at home
$0
cost to file each paper document & $120 to find each missing form
0%
of patients say they’d switch providers for a better digital experience

The Solution:
Secure Online Forms

Digitizes your entire process, eliminating the need for paper while enhancing the patient and provider experience.

  • Streamline Form Submission: Allow patients and providers to complete forms digitally from any device—no printing, scanning, or faxing required.
  • Enable eSignature & ID Capture: Securely collect signatures and documentation, fully compliant with HIPAA regulations.
  • Automate Form Routing: Automatically send completed forms to the appropriate department or system for processing.

Nothing more to do than than hit ‘submit’ once data entry is complete!

Interested in a Demo?

SECURE ONLINE FORMS

USE CASES

  • Request for Medical Records
  • Referrals
  • New Patient Packets
  • Surgery Forms
  • ER/Urgent Care Intake Forms

  • Portal Proxy Forms
  • Cloud-Based Web Application

  • Advanced Directives
  • Unscheduled Patient Check-In
  • Financial Assistance Request

KEY BENEFITS

Enhanced Patient Experience

Patients complete forms on their own time, on their own devices, improving satisfaction and reducing frustration.

Reduced Administrative Burden

Your staff saves time with automated workflows, freeing them from managing stacks of paper forms and manual errors.

Accuracy & Compliance

Digital submissions ensure that all information is clear, legible, and compliant with regulatory requirements.

WHY INTERLACE HEALTH SECURE ONLINE FORMS?

Support Your Workflows

Customizable to your organization’s unique processes and multi-language needs.

Deliver Modern Features

Guided user experiences, eSignature, ID/document capture, and real-time tracking dashboards.

Integrate Seamlessly

Automatically archive completed forms into your EHR or other systems with HL7 and FHIR support.

Deploy Quickly

Cloud-based and hosted on Microsoft Azure for rapid, secure implementation.

Related Content

  • Are Your Forms Losing Patients?

  • Secure Online Forms – Ending The Paper Era

Replace Paper with progress

Healthcare is evolving—so should your forms. Secure Online Forms empower you to eliminate inefficiencies, enhance patient experiences, and reduce administrative burdens.