graphic depicting a form filled out on a phone being sent via email to a PDF

What if your patients could fill out your paper forms electronically?

Technology is an equalizer that eliminates struggles with pen & paper. Many people have problems with writing because of limited dexterity, limited vision, or other health conditions.

Your patients fill out paperwork electronically, then we convert the data to a PDF + CSV and email it to you. We use your existing forms! No need to learn a new system.

Why use AlpineForm?

To delight patients and to minimize paper use.

Be More Inclusive.

Keyboards, touchscreens, and voice input help people who struggle with handwriting, vision, and more.

Be More Efficient.

Patients can fill out their paperwork before they come in. Save digital copies without any scanning.

Be More Profitable.

Time is money. Reduce time in the waiting room. Reduce admin time. See more patients.

AlpineForm is not a DIY service.
We create & maintain electronic patient forms.

Will patients use electronic forms?

Nearly everyone has a smartphone with them all the time. If given the choice to fill out a paper form or an electronic form in person, it’s likely that most will choose the electronic version.

If patients have the option to fill out paperwork in advance versus coming in 10-15 minutes early and sitting in the waiting room, it’s likely that many will choose to complete it before showing up.

Smiling young black man having video call at home
smiling woman wearing white shirt using smartphone

Can my forms be branded?

Yes! Branding leads to trust. Each form will have your practice’s logo (not ours!) on top, and each URL will use your business ID. Example:

We’ll also create a public page that lists your forms and contact info. You can use a custom domain/subdomain for this page. Example:

Are these forms difficult for patients to use?

Our forms are usable on any device with a modern web browser. They work well on large screens, scale for use on smartphones, and comply with Section 508 and WCAG 2.1 AA standards.

All you need to share is a link. This can be done over email, text, or with a QR Code to display in your office.

man smiling and using MacBook
A Woman Talking to a Receptionist

How will I get my patients’ information?

Our forms “magically” fill out your existing forms and immediately send a PDF copy to your office’s email address, ready for your staff to add to your patient files. We also include the form content in a CSV file, which can help reduce manual data entry.

If your practice uses Google Workspace, we can also share a Google Sheet with all information collected by your forms that automatically updates each time a form is submitted.

Will my forms be HIPAA-compliant?

Yes! We adhere to strict HIPAA and HITECH compliance standards for (1) our business, (2) the AlpineForm website, and (3) our technical infrastructure. Keeping ePHI safe & secure is a top-level priority. There’s a lot that we do behind the scenes. Click the button for details.

woman in black top using Surface laptop
Woman Wearing White Top While Doing Thumbs Up

Won’t this create extra work for my staff?

AlpineForm is designed to fit into your existing processes if you use paper forms. If your staff already uses email and some form of digital file storage, it’ll be easy for them to use.

If your staff manually enters data in EMR/EHR software, our CSV data files accompanying each form submission may be a time-saver if your software supports importing CSV files.

Can my staff use this for documentation?

Yes! If your staff needs a solution for documenting patient interactions, assessments, progress notes, etc., our forms can also be used for those. We can exclude forms from your public page and password-protect them if needed.

You’ll simply need to specify an email address for us to send completed forms to, which can differ for each form.

person holding an ipad
photo of happy business interaction

What if my patients don’t use it?

Over your first 90 days, if AlpineForm isn’t the best fit for your practice, simply reach out! We’ll happily refund 100% of your money, even after we’ve done all the work to build your electronic forms.

Your AlpineForm electronic forms will need to be receiving weekly traffic to qualify for a 100% refund.



First 90 days paid upfront to cover setup. Fully refundable.

HIPAA-compliant with 45 CFR Part 164 Subpart C

6 electronic form conversions*

Unlimited form submissions

Unlimited form updates

Private forms for staff use

PDF + CSV of each form submission

Live data access via Google Sheets*

Secure and redundant data archiving

Branded electronic form URLs

Public page for easy access to forms

Custom domain for public page*

Short URLs for sharing forms via text

QR code for sharing forms in-office

Invisible reCaptcha spam suppression

Signed Business Associate Agreement

* Some details…

  1. We bill the first 3 months upfront to cover the initial setup and form conversion costs. Monthly billing will start after 90 days. Here’s our 100% refund guarantee.
  2. Billing is automated and securely processed by Stripe . Major credit/debit cards or ACH bank transfers are accepted.
  3. Your AlpineForm plan includes up to 6 forms that we convert to an electronic version and program to fill out a PDF and send you a CSV that matches your existing paper forms. Additional forms will require a one-time conversion fee and will not increase the monthly rate.
  4. Live data access is achieved through Google Sheets. All form data is saved in a spreadsheet unique to each form and will be accessible only to you at any time. To receive access, you must have a Google Workspace account and a signed Google Workspace/Cloud Identity Business Associate Amendment  for HIPAA compliance.
  5. Custom domains will make your public page that indexes your forms accessible through an URL other than, like, which can increase trust for some people. If you choose to use a custom domain/subdomain, you’ll need the ability to update your domain’s DNS to add a CNAME record that points to This only applies to your public page; the domain will still be used for your forms for authentication & security.