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You can easily use one of the 1900 form templates offered by 123 Form Builder, including HIPAA compliant record forms. To do this, go to your 123 Form Builder Dashboard, and click on NEW FORM. Click on TEMPLATE GALLERY, search for medical record using the SEARCH bar. Hover over your desired template from the search results, and then click on USE THIS TEMPLATE. You can either use the form as it is, just click PUBLISH and use it as you normally would, or if you want to, you can edit the form. For example, you can add a new phone field. To do this go to FIELDS and select PHONE. You can call this Home phone for example and move it right under the other phone field, just drag-and-drop it there. And thats it, when youre ready just click PUBLISH and copy paste the link or embed it in your website.