
What Makes a HIPAA-Safe Intake Form? Builders, Fields, and BAAs Explained
A HIPAA-safe intake form isn’t about fancy features. It’s about protecting patient trust and avoiding quiet compliance risks that show up later. We’ve reviewed dozens
A 60-second assessment that tells clinics exactly where they stand—and what to fix next.
We’ll review your answers and email your full results later today, but here’s a quick look at what your score means:
90–100 — Growth Engine
You’re in a strong position to scale. With a few strategic upgrades, your clinic can quickly become one of the top choices in your area.
70–89 — Strong Foundation
You’re doing many things right. Tightening up a few key areas will help you create steady, predictable growth.
40–69 — Missed Opportunity Zone
You’re leaving real demand on the table. A clearer structure and focused improvements will turn more searches into booked appointments.
0–39 — Red Flag Zone
Your clinic may be hard to find for high-intent patients. The right foundational steps will make an immediate difference.
Truly excelling in the digital space to reach and impact a wider audience.
Felix Shaye, BCS founder of AdJet Marketing
A mental health marketing agency understands the clinical, ethical, and emotional considerations involved in promoting therapy services. We prioritize compassionate messaging, HIPAA-compliant processes, and strategies that support trust-building rather than aggressive sales tactics.
We never collect or store PHI in forms, ad platforms, or analytics tools. We use HIPAA-friendly website setups, secure hosting, compliant contact forms, and privacy-focused tracking to protect client confidentiality.

A HIPAA-safe intake form isn’t about fancy features. It’s about protecting patient trust and avoiding quiet compliance risks that show up later. We’ve reviewed dozens

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