Pricing

No yearly contract is required. It’s all month-to-month.
We require the first 3 months to be paid upfront* or you can save 15% by paying annually.
A signed Business Associate Agreement is required for HIPAA compliance.

WordPress HIPAA Compliance

$599/month

Website Risk Analysis


Website Risk Management


Data backup plan


Disaster recovery plan


Emergency mode operation plan


Testing and revision procedures


Application and data criticality analysis


Access establishment and modification


Security reminders


Protection from malicious software


Log-in monitoring


Response and reporting


Annual Technical Evaluation


HIPAA compliance for:

45 CFR 164.306(a)(1)-(3)

45 CFR 164.308(a)(1)(ii)(A)-(B)

45 CFR 164.308(a)(4)(ii)(C)

45 CFR 164.308(a)(5)(ii)(A)-(C)

45 CFR 164.308(a)(6)(ii)

45 CFR 164.308(a)(7)(ii)(A)-(E)

45 CFR 164.308(a)(8)


AlpineForm Patient Forms

$349/month

6 PDF form conversions*


Unlimited form submissions


Unlimited form updates


Private forms for staff use


PDF + CSV of each form submission


Live data access via Google Sheets*


Branded electronic form URLs


Public page for easy access to forms


Custom domain for public page*


Short URLs for sharing forms via text


QR code for sharing forms in-office


Invisible reCaptcha spam suppression


Secure data archiving


Fully HIPAA-compliant with:

45 CFR Part 164 Subpart C


25% off WordPress HIPAA Compliance


The AlpineForm Sign-Up Process:
  1. Sign Business Associate Agreement.
  2. Submit payment.
  3. Set up an account on AlpineForm.com.
  4. Upload copies of your paper forms.
  5. We’ll get to work converting them!

* Billing Info:

  • The first 3 months are to be paid upfront to cover initial costs of building your electronic forms. Monthly billing will start after 90 days.
  • Billing is automated via MoonClerk and securely processed by Stripe. Major credit/debit cards or ACH transfers are accepted.
  • Please contact us to request annual billing.

* AlpineForm Info:

  • AlpineForm plans include up to 6 forms that we convert to an electronic version and program to fill out a PDF and send you a CSV that matches your existing paper forms. Additional forms require a one-time conversion fee and will not increase the monthly rate.
  • Live data access with AlpineForm is achieved through Google Sheets. All form data is saved in a spreadsheet unique to each form and will be accessible only to you at any time. To receive access, you must have a Google Workspace account and proof of a signed Business Associate Agreement with Google for HIPAA compliance.
  • Custom domains will make your public page accessible through an URL other than alpineform.com, like forms.yourbusiness.com, which can increase trust for some people. If you choose to use a custom domain/subdomain, you’ll need the ability to update your domain’s DNS to add a CNAME record that points to alpineform.com.

WordPress HIPAA Compliance Waitlist:

  • Our WordPress HIPAA Compliance enrollment is on hold as we focus on AlpineForm. If you’re interested in this service, please fill out the form below and we’ll be in touch when we have adequate capacity to give your website the time and attention that it deserves.
  • Joining our waitlist does not imply a commitment. We’ll simply let you know when we open enrollment back up.
Compliance Service Waitlist
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