ALL IN ONE HIPAA-COMPLIANT FORM SOLUTION

Digital Forms for Healthcare

Meet your form creation, delivery and communication needs. Boost profitability and productivity while increasing patient engagement.

A person holding a cell phone in their hand.
A person holding a cell phone in their hand.

ALL IN ONE HIPAA-COMPLIANT FORM SOLUTION

Digital Forms for Healthcare

Meet your form creation, delivery and communication needs. Boost profitability and productivity while increasing patient engagement.

Streamline Data Collection and e-Signatures
with Digital Healthcare Forms

Patient Consent
Health History
SDoH
Patient Satisfaction
Intake Information
Health Risk Assessment
Prescription Refill
Financial Assistance 
Learn More

Streamline Data Collection and e-Signatures with Digital Healthcare Forms

Patient Consent
Health History
SDoH
Patient Satisfaction
Intake Information
Health Risk Assessment
Prescription Refill
Financial Assistance 
Learn More

Proven Results

Proven Results

Saved 19 Minutes Per Patient Seen
Recovered 60 Hours of Staff Time Per Week
27% Increase in Well-child Visits & Immunizations
Increased SDoH Screening
Speed Staff Onboarding by 1+ Days
Saved 19 Minutes Per Patient Seen
Recovered 60 Hours of Staff Time Per Week
27% Increase in Well-child Visits & Immunizations
Increased SDoH Screening
Speed Staff Onboarding by 1+ Days

Easily Clone Existing Forms or Build New Ones

Our HIPAA-secure no-code form builder allows you to build custom forms or convert existing forms mandated for use to add e-signatures, text, and date fields.

Pre-fill data elements
Enable recipients to upload files and images
Use conditional logic to streamline data capture
White label/brand as your own

Interested in learning more about HIPAA-Compliant Forms?

Check out our Ultimate Guide

Create Forms

Our HIPAA-secure no-code form builder allows you to build custom forms or convert existing forms mandated for use to add e-signatures, text, and date fields.

Pre-fill data elements
Enable recipients to upload files and images
Use conditional logic to streamline data capture
Capture data as a PDF or discrete data elements for import into EMRs
White label/brand as your own
Enforce required fields
Manage data quality using a robust list of data types, including pain scales, text, ratings, radio buttons, and more

Deliver to Patients or Staff

Use campaign automation and conversational chatbots to schedule population outreach via SMS or email.

Personalized messaging and organizational logo
Incorporate custom fields to personalize messages and forms
Automate nudges to prompt recipients to complete information
Place QR codes on the website to enable patients to initiate the interaction
Alert Patient With SMS Notification
Interact in the Secure Chatbot Dialog
Collect Info in Digital Form and Send to EHR

Deliver to Patients or Staff

Reduce staff effort by moving form completion out of clinical and administrative workflows.  Increase data capture by proactively and securely sending forms as your staff sees fit or use campaign automation and conversational chatbots to schedule population outreach via SMS or email.

Build trust with a personalized message and organizational logo
Incorporate custom fields to personalize messages and forms
Automate nudges to prompt recipients to complete information
Place QR codes on the website to enable patients to initiate the interaction
Automate personal responses to recipients who text or call the originating phone number

Communicate Asynchronously

Reduce phone calls and always keep staff in the loop with secure patient texting.  Use chatbot automation to guide a recipient through form completion or have staff select and send needed forms.  Track real-time completion.

Manage Security, Permissions, and Monitor Activity Dashboards

Create patient cohorts for population-level outreach. Manage what staff can see and do. Track opt-out, message success, usage, and form completion.

Integrate

Import patient lists or use two-way integration to reduce staff effort, automatically sending patient lists, verifying the patient’s identity, and then uploading completed forms as discrete data or PDFs into the medical record.

Easily Clone Existing Forms or Build New Ones

Our HIPAA-secure no-code form builder allows you to build custom forms or convert existing forms mandated for use to add e-signatures, text, and date fields.

Pre-fill data elements
Enable recipients to upload files and images
Use conditional logic to streamline data capture
White label/brand as your own

Interested in learning more about HIPAA-Compliant Forms?

Check out our Ultimate Guide

Deliver to Patients or Staff

Use campaign automation and conversational chatbots to schedule population outreach via SMS or email.

Personalized messaging and organizational logo
Incorporate custom fields to personalize messages and forms
Automate nudges to prompt recipients to complete information
Place QR codes on the website to enable patients to initiate the interaction
Alert Patient With SMS Notification
Interact in the Secure Chatbot Dialog
Collect Info in Digital Form and Send to EHR

Advantages of Quincy Digital Forms

All-in-one solution that works with your EHR.

Advantages of Quincy Digital Forms

All-in-one solution that works with your EHR.

Create

Use no-code tools to easily create smart custom forms. Brand as your own. Multiple language support.

Deliver

Securely deliver personalized forms and messages to patients or staff via SMS, email, or placed on your website.

Communicate

Allow patients and staff to start asynchronous digital or virtual interactions for questions and information.

Manage

Enable the administrator to manage users, view performance analytics, enforce security, and more.

A blue and white icon of a pair of plugs.

Integrate

Upload client lists or implement two-way integration.

Create

Use no-code tools to easily create smart custom forms. Brand as your own. Multiple language support.

Deliver

Securely deliver personalized forms and messages to patients or staff via SMS, email, or placed on your website.

Communicate

Allow patients and staff to start asynchronous digital or virtual interactions for questions and information.

Manage

Enable the administrator to manage users, view performance analytics, enforce security, and more.

A blue and white icon of a pair of plugs.

Integrate

Upload client lists or implement two-way integration.

Deliver to Patients or Staff

Reduce staff effort by moving form completion out of clinical and administrative workflows.  Increase data capture by proactively and securely sending forms as your staff sees fit or use campaign automation and conversational chatbots to schedule population outreach via SMS or email.

Build trust with a personalized message and organizational logo
Incorporate custom fields to personalize messages and forms
Automate nudges to prompt recipients to complete information
Place QR codes on the website to enable patients to initiate the interaction
Automate personal responses to recipients who text or call the originating phone number

Integrate

Import patient lists or use two-way integration to reduce staff effort, automatically sending patient lists, verifying the patient’s identity, and then uploading completed forms as discrete data or PDFs into the medical record.

Communicate Asynchronously

Reduce phone calls and always keep staff in the loop with secure patient texting.  Use chatbot automation to guide a recipient through form completion or have staff select and send needed forms.  Track real-time completion.

Manage Security, Permissions, and Monitor Activity Dashboards

Create patient cohorts for population-level outreach. Manage what staff can see and do. Track opt-out, message success, usage, and form completion.

Integrate

Import patient lists or use two-way integration to reduce staff effort, automatically sending patient lists, verifying the patient’s identity, and then uploading completed forms as discrete data or PDFs into the medical record.

Confused by All the Options & Vendors?

Use our complimentary Vendor Selection Checklist to compare capabilities and select a vendor who will partner with you for success.
Vendor Checklist

Confused by All the Options & Vendors?

Use our complimentary Vendor Selection Checklist to compare capabilities and select a vendor who will partner with you for success.
Vendor Checklist

Integrate

Import patient lists or use two-way integration to reduce staff effort, automatically sending patient lists, verifying the patient’s identity, and then uploading completed forms as discrete data or PDFs into the medical record.

Integrate

Import patient lists or use two-way integration to reduce staff effort, automatically sending patient lists, verifying the patient’s identity, and then uploading completed forms as discrete data or PDFs into the medical record.

Confused by All the Options & Vendors?

Use our complimentary Vendor Selection Checklist to compare capabilities and select a vendor who will partner with you for success.
Vendor Checklist

Confused by All the Options & Vendors?

Use our complimentary Vendor Selection Checklist to compare capabilities and select a vendor who will partner with you for success.
Vendor Checklist

Let’s Get Started

Leverage our experience and get up-and-running in just a few easy steps.

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