Squarespace 7.1UI Components

Secure HIPAA Compliance Forms Creator

By Common Ninja

Free
Secure HIPAA Compliance Forms Creator – Squarespace UI Components on SquareLocator
Fit check
Great for
Clinics and private practices on Squarespace
Therapists, counsellors and dentists taking intake online
Telehealth providers who must keep PHI out of the native Form Block
Know before you buy
  • Hosted widget: submissions live in Common Ninja's dashboard, not Squarespace
  • Free plan covers one form; paid tiers lift submission limits and unlock advanced features
  • Squarespace code blocks need a Core (formerly Business) plan or higher
  • The widget supports compliance; it does not make your practice compliant
  • Confirm the Business Associate Agreement and the tier that includes HIPAA features
  • Payment collection is a paid-tier feature
Version7.1
SetupEasy

Overview

What Secure HIPAA Compliance Forms Creator (Common Ninja) is

Secure HIPAA Compliance Forms Creator is Common Ninja's patient intake form widget, a hosted form you build in Common Ninja's editor and embed on a Squarespace page. The old copy here described buttons, tabs and accordions, a different product.

What it does

The vendor page lists patient details, date of birth, medical history, medications, consent acknowledgements, insurance information, reason for visit and custom questions. Submissions are encrypted in transit and at rest with role-based access and audit logs, and Common Ninja mentions a HIPAA-compliant API plus Google Sheets and EMR connections. Secure payment collection takes a co-pay in the same flow and real-time notifications alert staff.

Who it suits

Clinics, therapists and counsellors, dentists and telehealth providers on Squarespace who need intake that keeps protected health information out of plain email and native form storage.

One honest caveat

Read the vendor's wording carefully: the widget provides features that support a compliant workflow, but on its own it does not make your practice compliant. That depends on your policies, staff training and a signed Business Associate Agreement, so confirm the BAA and which tier includes the HIPAA features before relying on the free plan. Squarespace itself is not a HIPAA-covered host, which is why intake must not go through the native Form Block.

Setup and pricing

Build the form in Common Ninja's editor and paste the embed code into a Squarespace code block (Core, formerly Business, plan or higher). Common Ninja is recurring software: the free plan covers one HIPAA form with no time limit, and paid tiers add forms, submission volume, premium skins and the advanced features noted above.

Related guide

Read my roundup of the best Squarespace plugins in 2026 or browse the plugins collection.

What it does
  • Patient details, medical history, medications, consent and insurance fields
  • Encryption in transit and at rest with role-based access
  • Activity tracking, audit logs and compliance reporting
  • Secure payment collection for co-pays and deposits
  • HIPAA-compliant API with Google Sheets and EMR connections
Full specifications

FAQs

FAQs

What does the Secure HIPAA Compliance Forms Creator do on a Squarespace site?
It adds a hosted patient intake form with medical history, medications, consent, insurance and appointment fields, encrypted in transit and at rest with role-based access, audit logs, secure payment collection and staff notifications.
Does using it make my practice HIPAA compliant?
No. Common Ninja states the widget supports HIPAA-compliant workflows but does not make you compliant on its own. You still need policies, staff training and a signed Business Associate Agreement. Confirm the BAA with the vendor first.
Can I use the Squarespace Form Block for patient intake instead?
You should not. Squarespace is not a HIPAA-covered host, so protected health information must not be collected or stored through the native Form Block. That is the main reason a third party form exists here.
Can I take a co-pay or deposit in the form?
Yes. Secure payment collection is available so a patient completes the form and the payment in one step. Payment collection is a paid-tier feature.
How do I add it to Squarespace?
Build the form in Common Ninja's editor, copy the one-line embed snippet and paste it into a code block on the page. Code blocks need a Core (formerly Business) plan or higher. Later edits in the editor update the live embed automatically.
Is the HIPAA form free?
The free plan covers one form with no time limit, but check which tier includes the HIPAA security features and the BAA before relying on it. Paid tiers also add forms, submission volume, payments, premium skins and integrations.