The SecureForms for DocuTrack® Gallery
At SecureForms, we know your time is valuable. The last thing you need for you or your staff is to worry about struggling with incomplete faxed information that eats away at work hours day-after-day.
SecureForms removes the burden of unnecessary fax-follow-up, providing freedom for more productive activities. Our system eases pressure, and is fully-managed by our support staff. With a low flat-rate subscription, we’ll create and manage custom HIPAA-compliant data-collection forms and integrate them to your pharmaceutical back-end systems. Our happy clients save thousands of dollars a month by having us manage their data collection needs.
The following DocuTrack® form integrations are available:
- New Facility Registration
- New Patient/Resident Enrollment
- RX Refills (Second Dose)
- Patient Billing / Responsible Financial Party
- Custom form design/implementations are available upon request
The SecureForms for DocuTrack® Gallery benefits:
- Customized with your organization’s branding
- Custom fields can be added as desired
- Fields can be pre-filled with information to speed up the entry process
- Available to embed into your website on a public or protected page
- Send as hyperlinks (especially useful for ‘Financially Responsible Party’ form information and signatures)
- Required fields and formats help prevent incomplete submissions which greatly reduce follow-up customer service interactions
We are here to help!
Contact us to learn how SecureForms for DocuTrack® can help you save time and money on your data collection needs while providing a higher level of customer satisfaction to your affiliates.
Give us a call for general questions, comments, or just to get started with SecureForms. Our staff is informed and ready to assist you.
Phone: +1 800-514-5908
Email: Email Us
Frequently Asked Questions
What Our Clients Say
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