Watch the video to learn.
Form posts per day
PEF & HTML Templates
Can be HIPAA Compliant?
Price on Shared Servers
Price on a Dedicated Server with Private Label
Dedicated servers provide enhanced security dedicated resources. Your processing performance can not be affected by customer's behaviors. Dedicated SecureForm requires, at the minimum, a Px2 Business Class Server with Private Labeling. You can scale this up to a cluster of load-balanced Enterprise Class servers with a separate dedicated database server and dedicated hardware firewalls and load balancers.
SecureForm can also be an upgrade for customers with existing Business Email or Web Hosting accounts.
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.
No. You can keep your web site where it is and either integrate its existing forms with SecureForm, or link your site to forms saved in SecureForm FormBuilder.
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).
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.
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. We do provide custom consulting services for form design. This is $250/hour.
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.
Pricing is based on the number of forms and number of submissions per day. See the price list. The tiers are:
For larger limits or dedicated SecureForm processing servers, please contact sales for pricing.
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:
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.
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.
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.
Yes. SecureForm has an API that allows listing, downloading, and optional deletion of SecureForm data stored to a hosted MySQL database.
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.
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.
New accounts ready in 1 hour*
Account term is month-to-month
Free 30-minute training call included
*for non-dedicated-server orders placed between 9am and 10pm Eastern Time, USA. Provisioning can be delayed due to issues validating orders.
Book 2 in the LuxSci Internet Security Series.
Created by Erik Kangas, PhDGet the HIPAA eBook
LuxSci has been a pleasure to work with. The level of support we've received from them has been top-notch. From the smallest user issue to complex custom work, LuxSci has delivered service far above what I expected. Best of all, uptime with LuxSci has been 100%."
You are exceeding expectations. I have been very impressed with your organization. From sales and billing to tech support, everyone has been very responsive and knowledgeable. Most problems are resolved during the first contact. Thank you for your dedication to service and excellence. I will be recommending you without hesitation."
I just wanted to say thanks to all the great support and sales people I've dealt with from LuxSci. Our website launched this weekend nearly flawlessly and had great help from your support department. Keep up the good work!"
LuxSci is a very unusual company in the respect that if you ask support for a technical help, NOTHING is ever insurmountable to them. From a 1 to a 10, they are twelve!"
As a dentist, I'm glad I found LuxSci to walk me through the process of becoming HIPAA-compliant! Once I signed up, Connie and Peter both helped me setup get situated with my secure email service. Getting my Business Associate Agreement also a snap. Thank you LuxSci. Now I can concentrate on treating patients!"