HIPAA Compliant Online Intake Forms

Give clients a secure, convenient way to share information while your team reduces paperwork and keeps every record organized. CharityTracker’s HIPAA-compliant online intake forms support staff-led, kiosk, and remote workflows, so nonprofits, healthcare organizations, and community agencies can collect the details they need, protect sensitive information, and move clients toward services faster.

Caseworker reviewing a secure digital intake form

Our Online Intake Form Services

Flexible digital intake tools that securely collect, organize, and connect essential client information.

Case Intake

Record demographic, household, assistance, document, and goal information in one structured client profile. Staff-led intake supports individualized service delivery while making essential records easier to retrieve and manage.

Remote Intake

Let clients complete intake and request assistance digitally from anywhere. Remote and kiosk options reduce barriers to access, save staff time, and help teams serve more people without relying on paper forms.

Custom Needs Assessments

Build customizable assessments that capture demographic and situational details relevant to your programs. Use collected information to guide service planning, set goals, measure outcomes, and create meaningful reports.

Secure Document Storage

Upload intake forms, identity verification, case notes, and other sensitive documents directly to secure client profiles. A centralized digital filing cabinet replaces fragmented paper records and supports faster coordination.

Client Journey Tracking

Follow each client from first intake through milestones, referrals, services, and program completion. Tailored measurement points help caseworkers understand progress and document long-term impact over time.

Shared Case Coordination

Authorized member agencies can coordinate around common clients, improve referrals, and help prevent duplicate assistance. Shared network workflows support more connected service delivery while requiring appropriate release documentation.

Paperless Client Access

Secure Intake That Moves Care Forward

CharityTracker helps mission-driven teams replace paper intake with organized, digital workflows built around real client needs. Collect information through staff-led, kiosk, or remote forms; tailor assessments to your programs; and keep documents, requests, goals, and case notes connected in one place. With HIPAA-aligned confidentiality and data-security practices, your organization can reduce administrative burden while making client access and follow-up more efficient.

Client completing a digital intake form
The CharityTracker Difference

Why Choose CharityTracker?

Purpose-built technology and responsive support for organizations helping people through complex circumstances.

Mission-Built

Created during Hurricane Katrina relief efforts to solve real coordination challenges for community-serving organizations.

Proven Reach

Serving more than 2,500 communities nationwide with practical tools for coordinated client support.

Flexible Access

Remote, kiosk, and staff-led intake options help clients connect with services wherever access is needed.

Always Available

The CharityTracker platform is available 24/7/365 for time-sensitive community and emergency response work.

Meet the CharityTracker Team

Dedicated specialists helping organizations serve communities with confidence.

Portrait of Michael Simon, President of CharityTracker

Michael Simon

President

Michael Simon serves as President of CharityTracker, a role he fulfills with a deep commitment to the organization's founding mission of empowering charitable organizations through innovative software. Since the company's inception in 2006 during Hurricane Katrina relief efforts, Michael has helped shape CharityTracker into a trusted platform now serving over 2,500 communities across the United States. His leadership style blends strategic vision with hands-on dedication, ensuring that every product decision reflects the real-world needs of nonprofits, government agencies, and community organizations. Michael is passionate about helping mission-driven teams operate more efficiently so they can focus on creating lasting, transformative change in the communities they serve.

Portrait of Isaac Simon, CEO of CharityTracker

Isaac Simon

CEO

Isaac Simon serves as Chief Executive Officer of CharityTracker, providing strategic direction and executive leadership for the company's mission to strengthen communities through purpose-built software solutions. Known for his personable and approachable style, Isaac fosters a culture of collaboration, responsiveness, and genuine connection with clients. He plays a central role in guiding CharityTracker's growth as the platform continues to expand its reach to nonprofits, faith-based ministries, government agencies, and social service organizations across the USA. Under his leadership, the company remains steadfastly committed to its core values of listening first, doing the right thing, and continually evolving to better serve those who help others.

Portrait of Greg Hammond, Customer Success Specialist at CharityTracker

Greg Hammond

Customer Success

Greg Hammond is a Customer Success specialist at CharityTracker, dedicated to helping nonprofit and community organizations get the most out of the platform. As part of CharityTracker's client-focused support team, Greg works closely with users to ensure seamless onboarding experiences and continued satisfaction throughout their journey with the software. His role reflects the company's core value of listening first — being present and responsive at every stage of the client relationship. Greg is committed to making sure each organization he supports has the tools, knowledge, and confidence to effectively manage their programs, track client outcomes, and maximize their community impact.

Portrait of Ann Watt, Sales and Implementation Specialist at CharityTracker

Ann Watt

Sales & Implementation

Ann Watt is a Sales & Implementation specialist at CharityTracker, bringing expertise in client onboarding and software deployment to help organizations quickly adopt the platform and begin maximizing their impact. Ann works closely with new clients to ensure a smooth transition from evaluation to full implementation, guiding teams through setup, training, and early use of the system. Her approach reflects CharityTracker's promise of quick, approachable implementation — enabling nonprofits, government agencies, and community organizations to start tracking, measuring, and reporting within minutes. Ann is passionate about empowering mission-driven organizations with the tools they need to serve their communities more effectively.

Portrait of Kyle Minckler, Sales and Implementation Specialist at CharityTracker

Kyle Minckler

Sales & Implementation

Kyle Minckler is a Sales & Implementation specialist at CharityTracker, supporting client acquisition and onboarding with professionalism and a genuine commitment to the company's mission. Kyle works with prospective and new clients to demonstrate the platform's capabilities and guide them through the implementation process, ensuring organizations can quickly put CharityTracker to work for their communities. He brings a friendly, consultative approach that aligns with the company's values of transparency, dignity, and client-centered service. Kyle is dedicated to making the transition to digital case management as smooth and impactful as possible for every organization he works with across the nonprofit, government, and faith-based sectors.

Portrait of Joey Yarber, Sales and Implementation Specialist at CharityTracker

Joey Yarber

Sales & Implementation

Joey Yarber is a Sales & Implementation specialist at CharityTracker, responsible for conducting client demonstrations, supporting software onboarding, and guiding nonprofit and community organizations through the deployment process. Joey plays a key role in helping new clients understand the full range of CharityTracker's capabilities — from case management and digital intake to inter-agency collaboration and funder reporting. His work ensures that organizations are fully equipped to harness the platform from day one, reducing paperwork and improving service delivery. Joey is committed to making every client feel supported and confident as they begin their CharityTracker journey, embodying the company's people-first approach to customer relationships.

Portrait of Jason Gabriel, Sales and Implementation Specialist at CharityTracker

Jason Gabriel

Sales & Implementation

Jason Gabriel is a Sales & Implementation specialist at CharityTracker, focused on helping nonprofit and community organizations adopt the platform quickly and effectively. Jason supports clients through every step of the onboarding process, from initial demonstrations to full software deployment, ensuring teams are set up for long-term success. His work is grounded in CharityTracker's mission to make powerful case management tools accessible and approachable for organizations of all sizes. Jason takes pride in helping clients eliminate paperwork, improve coordination, and begin generating meaningful community impact data from day one, reflecting the company's commitment to doing things right and doing the right thing.

Portrait of Jon Lucius, Software Developer at CharityTracker

Jon Lucius

Developer

Jon Lucius is a software developer at CharityTracker, contributing technical expertise to the ongoing development and enhancement of the platform. As part of the dedicated development team at Simon Solutions, Jon works to build reliable, innovative features that help nonprofits, government agencies, and community organizations manage their work more efficiently. His technical contributions support critical capabilities such as digital intake, barcode scanning, case management workflows, and data security compliance. Jon is motivated by the meaningful nature of CharityTracker's mission, knowing that the software he builds directly supports organizations working to create lasting, positive change in communities across the United States.

Portrait of Riley Smith, Software Developer at CharityTracker

Riley Smith

Developer

Riley Smith is a software developer at CharityTracker, dedicated to building and continuously improving the platform's capabilities to better serve the nonprofit and community organizations that rely on it. As part of the Simon Solutions development team, Riley contributes to a product that has grown from its Hurricane Katrina origins into a comprehensive case management solution serving over 2,500 communities nationwide. Riley's work encompasses platform enhancements, new feature development, and ensuring the system remains reliable and secure for clients around the clock. He is driven by the opportunity to apply technical skill in service of a mission that genuinely helps those who help others.

Portrait of Darwin Anderson, Software Developer at CharityTracker

Darwin Anderson

Developer

Darwin Anderson is a software developer at CharityTracker, bringing technical skill and a strong commitment to community impact to the organization's development team. Darwin contributes to the ongoing evolution of the CharityTracker platform, helping to deliver innovative features that streamline case management, improve data security, and enhance the experience for nonprofit and social service users nationwide. His work is guided by the company's core philosophy of continuous improvement and its dedication to building tools that create real, measurable change in communities. Darwin takes pride in being part of a team whose software directly empowers organizations helping individuals and families break cycles of poverty and crisis.

Portrait of Rachel Fisher, Customer Success Specialist at CharityTracker

Rachel Fisher

Customer Success

Rachel Fisher is a Customer Success specialist at CharityTracker, focused on supporting clients and ensuring they achieve their goals using the platform. Rachel works alongside nonprofit organizations, government agencies, and community groups to provide ongoing guidance, troubleshoot challenges, and help users unlock the full potential of CharityTracker's case management tools. Her role reflects the company's unwavering commitment to being present with clients every step of the way — from implementation and beyond. Rachel embodies CharityTracker's core value that everyone matters, ensuring every user feels heard, supported, and equipped to make a meaningful difference in the communities they serve.

Portrait of Atticus Wright, Software Developer at CharityTracker

Atticus Wright

Developer

Atticus Wright is a software developer at CharityTracker, contributing to the platform's technical development and the organization's broader mission to support those who help others. As a member of the Simon Solutions development team, Atticus works to build and refine features that enable nonprofits, healthcare organizations, faith-based ministries, and government agencies to manage client data more effectively and serve their communities with greater efficiency. His technical contributions help ensure that CharityTracker remains a cutting-edge, secure, and reliable tool for over 2,500 communities across the United States. Atticus is committed to the idea that great technology, built with purpose, can drive transformative community change.

Frequently Asked Questions

What are HIPAA compliant forms?

HIPAA-compliant forms are designed to collect, store, and share protected health information in a way that supports the HIPAA Privacy and Security Rules. In practice, organizations need safeguards such as controlled access, secure data handling, appropriate policies, and documented workflows. A form alone does not create compliance; your organization’s processes, permissions, and use of the platform matter too.

What should be in a client intake form?

Can clients complete CharityTracker intake forms remotely?

Can we customize online intake forms for different programs?

How does digital intake reduce paperwork?

Can we store intake documents with a client record?

How quickly can our organization start using online intake forms?

Which CharityTracker plan includes kiosk and remote intake?

Questions About Secure Digital Intake?

Talk with our team about forms, workflows, and implementation options.

Trusted Technology Partner

Awards and Recognition

HIPAA-aligned security trust indicator

HIPAA-Aligned Security

Supports confidential client data handling.

Global client reach trust indicator

20,000+ Clients Worldwide

Supporting organizations worldwide with case management.

Communities served trust indicator

2,500+ Communities Served

Trusted across communities throughout the USA.

Build a Better Intake Experience

Tell us about your intake workflow, and our team will help you explore the right CharityTracker capabilities.

Contact Us Today

For immediate assistance, feel free to give us a direct call at 888-764-0633.