PerfectPC Services will
help your business create a form for
to collect data entered online securely, then
give you secure access to
retrieve the form in PDF format that can
then be saved or printed out.
An example of use would
be Muncie Allergy Center. They
have several Intake forms that patients
fill out when they come in for the first
time. PerfectPC Services was able
to take the exact forms used in the
office and make online fillable forms at
their website. Once the customer
had filled out the forms, Muncie Allergy
Center was sent a notification of the
new forms through email. They log
into a secure area and choose that
client's form and open it. From
that point they can print it out or save
it to the customers electronic file.
Here is a graphical look
at the process:
Below is a live sample
of how the process works.
The form below is encrypted to comply
with HIPPA regulations.
1. Client Login Area
On each clients website will be a link
for admin access to form data.
2. After login, client can see all
Each web submission can then be viewed,
printed, or downloaded.
have this technology:
setup fee per form.
2. $5 per month to have secure account
for this technology on your own,
already have an account with us?
Click Here to login.