HIPAA Compliant Chiropractic Intake Form

I'm considering to upgrade our account so we can start using online HIPAA compliant forms. I have 9 forms, but three of them are very complicated. I attached one of them so you can advise how I can create this form in JotForm. The particular area of concern is the diagram section where the patient is asked to indicate level, place on body and type of pain.

And second, how do you handle legal signing of forms by the patient?

Please advise how we might solve this using JotForm HIPAA level account.

Thank you,

Drew De Grado

You may use the annotate picture so that you can upload an image and the user can write in the image.

Guide:https://www.jotform.com/blog/annotate-picture-widget-announcement/

And second, how do you handle legal signing of forms by the patient?

We have E-signature widgets that you may add in your form for your patients to sign.

https://www.jotform.com/widgets/signature

Sample form:https://form.jotform.com/201157068188054

Please check it out and let us know if this fits your requirements.