HIPAA Secure Forms

Give your website the functionality your patients are looking for with EyeMotion's HIPAA-Secure Online Forms. Practices around the country are discovering the demand for providing online users the ease of point-and-click capabilities in order to best accommodate everyone from the busy mother to the rushed business man. Offer your patients the convenience of online appointment scheduling, pre-registration and ordering contacts with HIPAA-Secure Online Forms from EyeMotion!

Appointment Scheduling

With this form, patients complete three possible times for an appointment in order of priority. After the information is received by your practice, choose the time that fits your appointment book and confirm with the patient. Next, encourage them to complete their registration forms online as their schedule allows.

Patient Registration

The EyeMotion Patient Registration form includes details on basic demographics as well as medical and social history. In addition, the form can be adapted to the specific needs of your practice.

Contact Lens Ordering

To further provide convenience to your patients, EyeMotion's Contact Lens Ordering form allows users to re-order contacts from your practice in no time. As more and more consumers use the Internet to purchase eye care products, this form offers your practice the opportunity to better compete in the online market.

Custom Forms

We can also build forms specifically for your practice and your needs. Want to have an online Patient Registration form that has the exact same questions in the exact same order as your in-office paper forms? Want to offer an online Patient Survey? No problem--we can do it!

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