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3 web forms you'll want to copy for your practice

Hush Secure Forms can be used to create a wide variety of useful forms no matter what business you’re in. Our customers have been using our secure web forms for a few months now. In this week’s post, we’ll share with you some forms that our customers have been building and putting to good use.


When we first announced the new Hush Secure Forms, we were excited about all the possibilities it would give our customers. Although we’ve been offering a secure form builder for several years, we understood that it was a little difficult to use, requiring basic coding knowledge that, let’s face it, many of us just don’t have. But the new Hush Secure Forms is different. All you have to do is drag and drop the various fields into your form, add dropdowns, radio buttons, and other features where it makes sense. Then, finish up your form by adding your bio and contact information. That’s it! It’s so easy. After you make your first form, you’ll start thinking of all the different ways you can use the new Hush Secure Forms.

To help get those creative juices flowing, we’ve provided you with three examples of forms our customers have been building so you can get an idea of the possibilities. Then, at the end of the post, let us know which examples you like the most, and we’ll consider turning them into templates for our template directory. We built the new Hush Secure Forms to make your life easier. When you include a link to your form in your email signature or on your social media page, or embed a form into your website, your clients are presented with the opportunity to contact you right away. The new Hush Secure Forms makes the entire process simple and efficient, with no extra steps to slow down communication.

Referral form

referral form-1

Referrals are an essential part of any therapist's practice. If you think a colleague might be a perfect fit for one of your clients, then you want to refer that client in a way that's efficient, confidential, and HIPAA compliant - giving your client the opportunity to receive the best care possible. This sample referral form is an excellent place to start. However, as with all templates, read through it carefully and make adjustments that will ensure it accurately reflects your practice. View the referral form.

Client communication log

communication log-2-1


How many phone calls do you receive in a day? Ten? Twenty? How about text messages, emails, and faxes? The way we organize our many communications makes a tremendous difference in how efficiently we run our businesses. If you're managing a busy practice, you might have had the experience of recalling an important conversation from a month ago, but as you rifle through your notes, the details are nowhere to be found. Or if you do find them, you realize you failed to jot down the information you needed most. Capture your phone calls, text messages, faxes, and emails in one place with a secure web form that takes the guesswork out of what to record. You can adapt the form to include face to face conversations, front office inquiries, or any other type of communication. With a quick glance, you'll be able to remember the context and content so you can resume the conversation from right where you left off. View the client communication log form.

Job application form

Job application-1-1

As your practice grows, we expect you'll need more secure web forms, which is why we offer flexible plans for Hushmail for Healthcare. You'll also find yourself hiring more team members to help run your thriving office. What better way to grow your team than with a job application form embedded right into your website. The application form can be as simple or as complex as you want. We've provided you with a simple form to get you started. View the job application form.

We hope you find these form examples useful. If you aren’t already using the new Hush Secure Forms, check out our recent post A quick start guide to Hush Secure Forms. And if you need an account so you can start using our secure web forms, try out Hushmail for Healthcare, risk free for 60 days.

We’d love to know what you think about these example forms.

Help us fill our forms template directory by choosing your favorites here.


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