Give your patients an easier & more accessible way to fill out your forms.
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.
We create & maintain HIPAA-compliant electronic versions of your paper forms so patients can complete paperwork on a modern device. We convert the data to a PDF and email it to you. The best part? We use your existing forms! No need to learn a new system.
Pricing: an affordable $199/month + one-time $99/page conversion fees. Details ↓
Q1: Why use AlpineForm?
To delight patients and to minimize paper use.
Be More Accessible.
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.
Q2: Will patients use electronic forms?
Yep! 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.
Q3: Can my forms be branded?
Yep! Branding leads to trust. Each form will have your practice’s logo (not ours!) on top, and each URL will use your business ID. We’ll also create a public page that lists your forms and contact info. You can use a custom domain/subdomain for this page. Examples:
- Registration Form: alpineform.com/buttehealth/registration
- Custom domain public page: forms.buttehealth.com
Q4: Are these forms difficult to use?
Nope! Our forms are usable on any device with a modern web browser. They work well on large screens, scale for 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 (link opens in a popup) to display in your office.
Q5: 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.
Q6: Will my forms be HIPAA-compliant?
Yep! 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.
Q7: Won’t this create extra work for staff?
Nope! 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.
Q8: Can we use this for documentation?
Yep! 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.
Q9: What if my patients don’t use it?
Over your first 90 days, if AlpineForm isn’t a good fit for your practice, simply reach out! We’ll refund 100% of your money, even after completing all the work to create your electronic forms.
Your AlpineForm electronic forms will need to be receiving weekly traffic from multiple IP addresses to qualify for a 100% refund.
Q10: How much?
$199/month
Our conversion fee* is separate. This is a one-time $99/page per form, regardless of complexity, and only applies to pages with form elements.
HIPAA-compliant with 45 CFR Part 164 Subpart C
Business Associate Agreement (BAA) for HIPAA
Unlimited form submissions
Unlimited form updates
Private forms for staff use
PDF of each form submission
Secure and redundant data archiving
Branded electronic form URLs
Public page for easy access to forms
Custom domain for public page*
QR code for sharing forms in-office
Invisible spam suppression by Cloudflare
Same-day support by email, phone, or text
* Some details…
- Form conversions involve converting your existing paper forms to electronic versions, programming each to fill out a PDF and send you a copy, and building branded web pages for each. Each form will require a one-time conversion fee of $99 per paper page with form elements and will not increase the $199 monthly rate.
- Billing is automated and securely processed by Helcim . ACH bank transfers and major credit cards are accepted. A 3% surcharge will be added for credit card processing.
- Custom domains will make your public page that indexes your forms accessible through an URL other than alpineform.com, like forms.yourbusiness.com, which can increase trust. 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 alpineform.com. This only applies to your public page; the alpineform.com domain will still be used for your forms for authentication & security.