Connect securely with your clients and website visitors using our HIPAA-compliant Secure Contact Form. Our Secure Form can easily be implemented into your website in just a few minutes!
..NeoCertified’s Secure Forms can help expedite secure communication between you and your clients in an easy, seamless manner. Our Secure Forms come in a pre-built out-of-the-box solution that can be implemented within one business day, as well as a customizable version that can be tailored exclusively for your business.
Once you have either your pre-built solution or customized form, you can place the HTML code on any webpage inside the website of your choosing. You can also include a link in your emails that will allow your clients to directly access your website.
Ensure your recipients stay protected by giving them the ability to connect with you securely online. We guarantee that all data you send including ePHI remains safe both in transit and in storage.
Secure Forms are available at this discounted rate for March 2023 for $129/yr!
Secure sensitive data with encryption
Add an extra layer of security!
We wanted to create a fast and easy way for business owners and their clients to communicate securely on their websites with no passwords and no portals!
HIPAA Compliant forms
Make sure your data is safe at all times!
Our Secure Contact Form is HIPAA compliant and will allow website visitors to upload files and documents up to 200 MB in size securely on your website in a matter of seconds!
Customer Connect
Choose a pre-built form
Our most basic HTML form comes pre-built and can be directly placed on your website, giving your clients a fast and easy way to communicate securely.
Secure Forms
Customize your own!
Customize our HTML Secure Form and place it directly on your website! Don’t have your website? Don’t worry we can host your very own Secure Form for you (additional fees apply).
NeoCertified’s Secure Forms
Direct access
Allow your clients, email recipients, website visitors & anyone who can see your signature block to send you secure messages using our Secure Contact Form.
Get Access Now
$129/yr
- Unlimited secure emails
- Secure channel of communication
- User-friendly
- Upload patient registration forms
- HIPAA Compliant
★★★★★
“NeoCertified meets HIPAA compliance rules and offers the BAA document for company requirements. The service has a quick response and works well with smartphone devices”
Don P.
Manager, KCAS
★★★★★
“I like that it is simple to use and that you have all the security steps included that I am required to have. My clients don’t have to be sent any additional codes either.”
Sally W.
Employer Group Health Insurance and Benefits
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Ready to get started?
Put our Secure Contact Form on your website to replace your current contact form today. Don’t have your own website? Don’t worry! We can host your very own Secure Form for you.
