Need a simple one page HIPAA compliant/encrypted web form for patients

Job ID: 34000436

Budget: $250 – $750 USD

We are a medical supplies company and need a landing page where patients can go and place a requests for a handful of products we are shipping direct to them. We need this page to be HIPAA compliant with the appropriate encryption that adheres to the HIPAA laws in the United States.
Related categories: JavaScript Website Design Graphic Design HTML HIPAA