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Form Builder
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Web & PDF Form Solutions

Simple Yet Powerful SecureForm Processing

Ideally suited for:
- HIPAA-compliant Forms & Legal Documents
- Contact & Customer Request Forms
- Processing & Hosting of PDF Forms
- Form Building, Security, & Transmission
- Collecting Digital Signatures
- WordPress Gravity Forms Integration
- Online Surveys & Group Responses
LuxSci SecureForm Processing Works With Any Website, Hosting Plan, or Server Type
Easily add HIPAA-compliant patient forms, tax documents, and other secure items to your web site. Link to a LuxSci hosted form or embed it using an iFrame to fit your needs.

HIPAA-compliant Form

When operating your website or database, you want to ensure that all sensitive client or patient information is secure and protected from unapproved eyes. This means using secure Web forms. Unsecured forms and legal documents can provide easy access for hackers to infiltrate and collect confidential information, which is why LuxSci developed a secure Web form. LuxSci's SecureForm processing allows you to add and store HIPAA- (Health Insurance Portability and Accountability Act) compliant patient forms and tax documents in order to ensure your online services stay protected and legal.

SecureForm seamlessly integrates with any of your company’s current Web or PDF forms. SecureForm is compatible with any CMS (including WordPress), as well as custom-coded pages made using PHP, .NET, and any other language. You can save your data in multiple formats: plain text, two-column html, CSV (Excel), XML, refilled custom templates (HTML, XML, or other), and refilled PDF templates (even with data from Web forms). Our SecureForm form builder allows you to use our Web interface to configure and customize your own forms without any coding knowledge. SecureForm ensures that your data remains protected during transmission, using TLS encryption, and at rest, using PGP and/or AES encryption. Note: if you're a LuxSci HIPAA customer, SecureForm automatically configures for your compliance.

Secure Digital Signature Forms

One of our exciting HIPAA-compliant SecureForm features is Ink Signatures. LuxSci's Ink Signatures are simple Web-based agreements that allow you to easily capture authentic handwritten signatures of your clients in any SecureForm-enabled Web form. There’s no special software or technical knowledge required; you can sign with a mouse, a stylus, or a touchscreen. This user-friendly feature provides an easy way to establish signed agreements and is much easier to implement than standard digital signatures.

Perhaps you were wondering...?

Can I use my own forms?
Yes. SecureForm integrates with any Web or PDF form hosted anywhere. A few minutes is all that it takes to update an existing form to send its data to SecureForm for processing and delivery or storage.
What format can I get the form data in?
SecureForm will transmit or save your form data in any combination of formats: plain text, two-column html, CSV (Excel), XML, refilled custom templates (HTML, XML, or other), and re-filled PDF templates (even with data from Web forms).
Where does the form data go?
SecureForm transmits or saves your form data in any combination of methods: Secure Email, SecureChat, FTP/Secure FTP, hosted MySQL database, and Online "WebAide Documents" File Storage. You can also receive simple notices of new form posts to email addresses, via regular text addresses, or to SecureChat.
Do I get a trustmark or seal for my website?
Yes. HIPAA customers get a trustmark that looks like this:

LuxSci helps ensure HIPAA-compliance for email and web services.
Do you make the forms for me?
We do not make your forms. You or your Web designer can modify your existing forms, make new forms hosted elsewhere, or use SecureForm visual Form Builder to make and host new forms.
Do I have to know how to program?
You don't need programming skills when using the SecureForm visual Form Builder or PDF forms. When designing or updating your existing/external Web forms, you or your Web designer will have to edit a couple of lines of HTML code to direct the form submissions to SecureForm; if a content management system such as Gravity Forms for WordPress generates or dynamically manages your forms, then you may need a little coding to integrate SecureForm.
How many forms or submissions can I have?
Pricing is based on the number of forms and number of submissions per day. See the price list. The tiers are:
  • Starter: Up to 3 forms and up to 1,000 posts/day
  • Professional: Up to 25 forms and up to 5,000 posts/day
  • Enterprise: Up to 100 forms and up to 10,000 posts/day

For larger limits or dedicated SecureForm processing servers, please contact sales for pricing.

How secure are the forms?
When using SecureForm, data transmits from the end-user’s Web browser (or PDF) to LuxSci, encrypted using strong ciphers. Once it arrives, what happens next depends on the settings you configure; the security of the results is then, to a certain degree, your choice:
  • Encrypted Email: The data can be sent encrypted using PGP, S/MIME, Forced TLS, or via Escrow secure Web pickup.
  • SecureChat: You can send form data to recipients securely using our SecureChat real-time communication and collaboration system. These messages are AES-256-encrypted at rest and encrypted via TLS during transmission.
  • Secure FTP: You can upload data and files to your server using Secure FTP and a strong cipher like AES 256. Once the files are there, their security is up to you.
  • MySQL Database: You can save your form data to a MySQL database and you have the option of having all files and data encrypted at rest with native MySQL AES-128 encryption.
  • WebAide File Storage: You can save your form data to our WebAide Documents collaborative online file storage system. You can choose to have this data be automatically and seamlessly PGP-encrypted.

You do not need your own SSL certificate to use SecureForm; however, if you are hosting your forms on your own website, we do recommend that you secure that site with SSL (TLS) to protect your form pages themselves from alteration/hacking before getting to your end users.

What kind of reports do you have?
SecureForm includes detailed reports of all successful form posts, and of many kinds of post failures (including emailed alerts of important types of failures). If saving your data to a hosted MySQL database, SecureForm provides an audit trail of views and deletions (if such are permitted) of all rows of posted data accessed via our API or or Web-based Form Database viewer.
Are digital signatures supported?
Yes. Users of your Web-based forms can sign a written signature using their mouse, stylus, or finger, and it's possible to capture and deliver that signature along with your form post. The post can even auto-append to refilled PDF templates or inserted inline in refilled HTML templates. See Ink Signatures.
Does SecureForm have an API?
Yes. SecureForm has an API that allows listing, downloading, and optional deletion of SecureForm data stored to a hosted MySQL database.
Can I use my own URL for branding/white labeling SecureForm?
Yes. You can order Private Labeling and then customize all URLs so that LuxSci's domain names are not visible anywhere.
Other questions? Call Sales

Got it all figured out?

Monthly accounts start at $25

No need to migrate your email, website, or DNS to LuxSci—unless you want to.

New accounts ready in 1 hour*
Your forms posting securely in minutes
Free 30-minute training call included

Welcome to LuxSci!

...any questions?

* for orders placed between 9am and 10pm Eastern Time, USA. Provisioning can be delayed due to issues validating orders.

It is always refreshing to work with a company that values customer service and LuxSci has repeatedly demonstrated this! For our SecureForms, each and every time we have a question, issue or modification needed, LuxSci's technical and sales personnel are quick to assist, communicate and most important, resolve our issues! I will continue to use LuxSci and will not hesitate to recommend them to colleagues and friends!"
Rob T
eHealth Technologies
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Free SSL 123 Certificate with SecureForm 25+ Tier

"Thank you for your willingness to accommodate my client's specific needs. I appreciate the considerable effort you put into adding a feature to SecureForm that supports PDFs created with Adobe Acrobat Professional. I think it's a valuable enhancement to an already great service, and I genuinely appreciate your hard work. Thanks again to the LuxSci team for being so responsive!"

—Rainer Freytag, Webmaster & Digital Artist,

TRUSTe Privacy Certification Refund Policy Thawte Extended Validation SSL Certificate
McAfee Secure TRUSTe Privacy Certification Thawte Extended Validation SSL Certificate Refund Policy
• Access Anywhere
• Fast and Robust
• Super Secure
• Tons of Features
• Customizable
• Mobile Friendly

Send and receive email from your favorite programs, including:

 Microsoft Outlook
 Mozilla Thunderbird
 Apple Mail
 Windows Mail

... Virtually any program that supports POP, IMAP, or SMTP

Keep your email, contacts, and calendars in sync:

 Apple iPhone and iPad
 Android Devices
 Windows Phone

... Any device with Exchange ActiveSync (EAS) support

Relay your server's mail through LuxSci via smarthost:

• Resolve issues with ISP sending limits and restrictions
• Improve deliverability with better IP reputation and IP masking
• Take advantage of Email Archival and HIPAA Compliance
• Even setup smarthosting from Google Apps!

Free web site hosting with any email account:

• Start with up to 10 web sites and MySQL databases
• DNS services for one domain included
• Tons of features and fully HIPAA capable

LuxSci's focus on security and privacy:

• Read The Case for Email Security
• Read Mitigating Security & Privacy Threats
• Review our Privacy Policy

The most accurate, flexible, and trusted filters in the business:

• Premium protection with Intel Security Saas
• Realtime virus database guards against the latest threats
• Seven-day quarantine lets you put eyes on every filtered email
• Supplement with our Basic Spam Filter for even more features

End-to-end secure email encryption — to anyone, from anyone:

• No setup required — encryption is automatic and easy to use
• Secure outbound email with TLS, PGP, S/MIME, or Escrow
• Free inbound encryption via our SecureSend portal
• Independent of your recipient's level of email security
• Widely compatible and fully HIPAA Compliant

Add an extra layer of security with an SSL Certificate:

• Secure your web site
• Debrand LuxSci WebMail with your own secure domain
• Access secure email services via your own secure domain

Encrypt your service traffic via secure tunnel:

• Add another layer of security to your SSL connections
• WebMail, POP, IMAP, SMTP, web/database access
• SecureForm posts, SecureLine Escrow, SecureSend access
• Restrict your account to VPN access only

Secure long-term message archival:

• Immutable, tamperproof email retention with audit trails
• No system requirements — minimal setup, even less upkeep
• Realtime archival of all inbound and outbound messages
• Works anywhere — even with non-LuxSci email hosting

Free data backups included with all email hosting accounts:

• Automatic backups of all email, WebAides, web/database data
• Seven daily backups and up to four weekly backups
• Unlimited restores included at no additional cost
• Custom backup schedules for dedicated servers

Automate your email management:

• Save messages to specific folders or to LuxSci WebAides
• Advanced text scanning with regular expressions
• Tag messages, alter subject lines, or add custom headers
• Filter by message charset, type, TLS status, DKIM status
• Chain filters together for even more complex actions

• Bulk add and edit users, aliases and more
• Control sharing and access globally or on a granular level
• Delegate user roles through permissions
• Configure account-wide taglines, sending restrictions, and more
• Remotely administer account via SOAP API

Share, collaborate, organize, synchronize:

• Calendars, Contacts, Documents, Notes, Widgets, Workspaces
• Fine-grained access control and security
• Access anywhere via secure web portal or smartphone
• Save over solutions like Microsoft Exchange

Free folder sharing for all email hosting accounts:

• Share mail folders with other users in your account
• Subscribe to only the folders you want to see
• Set read-only or read-write access control
• View all personal and shared folders via unified web interface

Color code and label your email messages:

• Define and assign multiple IMAP keywords to each message
• Filter, search, and sort by tags
• Compatible and synchronizes with any IMAP email client
• Also usable with WebAide entries