About Omedix SecureForms

Omedix SecureForms allow your practice to accept information directly from patients right on your website.

The Interface Your Practice Uses to View a Secure Form
(Shown with Secure Messaging Feature)

How It Works

• The patient’s data is securely transmitted to Omedix servers.
• Your practice is notified.
• You are then free to login to view the form request.

All requests are HIPAA-compliant.¹ Omedix SecureForms can be appointment requests, prescription renewals, bill payment, or virtually any other form you’d like to create!

1: Naturally, there are some things you have to do on your end to maintain HIPAA-compliance. This is explained in more detail in our service contract.

Omedix SecureForms is a PortalPlus™ Module!

Omedix SecureForms isn’t just a standalone service; it’s actually a module of our PortalPlus™ platform. That means that when you add services in the future like eNewsletters, patient surveys, a practice blog, secure messaging, automated appointment preparation, or any other number of modules, it’s integrated with your SecureForms.

Example: After requesting an appointment, your patient can login to your website and see a history of all appointments he requested, and chose to sign up for a special newsletter when requesting an appointment.

PortalPlus™ integration is added at no extra cost.

What's Included?

• Customization
  We will customize your online forms, whether an appointment request form, a prescription renewal form, a registration form, a medical history form, or any other. The end user will be able to fill out the form and submit it over an encrypted connection.
• Email Notification of New Form Submissions
  At your request, any member of your staff can receive an e-mail notification when a particular form is submitted.
• Secure and Personalized Login for Each Member of Your Staff
  Each member of your staff will have a secure and personalized login to process any form submissions.
• Archive of All Forms Submitted
  It is impossible to delete a form submission from the database. When processed, forms are “archived” for future searching if necessary.
• Daily Backup of All Data
  All database files are backed up to an offsite location on a nightly basis.