HIPAA Compliant Forms for Durable Medical Equipment Suppliers
Built for you HIPAA Compliant Forms.
We build your Patient Intake, Patient Reorder, Patient Packet, ABN and any other intake form needed for your website.
Pogo provides HIPAA Web Forms for Durable Medical Equipment Suppliers!
HIPAA Compliant Web Forms more important than ever. That’s why Pogo provides a Built For You Web Form solution that you can then put on your own Website.
Users can visit your site and submit intake forms, patient packets, patient reorders and more!

HIPAA Compliant Web Forms
Features that help Growing Suppliers
Our platform is packed with features that support suppliers of all sizes.. When you choose Pogo Web Forms, you choose a platform that can scale with you.
Calculating Fields
Let your forms do the math in real time, from instant price calculations to automatic scoring.
File Uploads
Upload any file instantly. Accept any type of file, including files that have Private Health Information (PHI)
Conditional Logic
Make your forms adapt dynamically. Show or hide content based on user responses.
Hide & Show Fields
Boost your conversion rates significantly with smarter forms that show only what the users need to see.
PDF Generation
Submissions from your form can automatically create a PDF form with the input values. Speed up document generations.
Email Notifications
Form Submissions can auto send emails to specific recipients. You can also attach generated PDF’s.
Electronic Signatures
Allow Users to Electronically Sign directly from your forms. These forms can be generated to your PDF documents.
Accept Payments
Accept Secure Payments from your users directly from your form. Integrate your Stripe, Paypal or Authorize.net account.