FillOnce
Fill patient intake PDFs
Same med list. New clinic PDF.
Fill it without retyping.
Allergies, medications, surgeries, insurance, emergency contacts — stored once, encrypted. Fill structured patient intake PDFs or Word packets when we detect fields, then review before you submit. Manage kids and aging parents as separate profiles.
Why FillOnce
Built for medical intake
Medications, allergies, family history, past surgeries: the long lists every new specialist asks for. Stored once. Reused on the next structured intake when fields match.
Manage everyone you care for
Your kids' immunization records, your aging parents' med list, your own history. Each in their own profile, each filled separately.
Private by design
Once you set your passphrase, saved details are encrypted with a key only you hold, so we can't read them. To match a form we do see its field labels, and an import passes that file through us to pull the values out. Matching never goes to an outside AI, and your medical data isn’t training anyone’s model.
The intake forms that ruin waiting rooms
New patient packets
Medical history, current meds, allergies, family history: the long first-visit clipboard, filled from your saved details in a couple of clicks.
Specialist referrals
Cardiologist, neurologist, GI, every new specialist wants the same intake info. Stored once, ready always.
Pharmacy & infusion centers
Med lists, dosing schedules, allergies, pre-filled before the technician asks.
Dental & vision
Insurance, last X-ray date, allergies to anesthesia, for the whole household.
How it works
Save details from a form you’ve filled
Upload a filled PDF, Word, or Excel form (or type a few details). FillOnce saves them in My details, encrypted so we can’t read them.
Open the next blank form
A regular web form in Chrome, or a fillable PDF, Word, or Excel sheet under Forms. FillOnce matches fields to your saved details.
Fill, review, submit yourself
Matched fields fill in. You check the page and submit. FillOnce never submits for you.
Your details stay yours
Browser autofill often syncs answers to a vendor. Password managers mainly cover logins and cards. FillOnce helps with PDF, Word, Excel, CSV, and regular web forms from details you save in My details. Once set up, they're encrypted in your browser so we can't read them. See how we protect data.
Free plan, no card needed
Simple, honest pricing
Start free for yourself. Plus adds unlimited filled forms, a signature stamp, and up to 6 people in your household. Cancel anytime.
Free
For filling your own forms.
- ✓Just you
- ✓3 filled forms a month
- ✓10 saved forms
- ✓Unlimited saved details
- ✓Date stamp on export
- ✓Encrypted in your browser, we can’t read it
Plus
For you and your household.
or $69/year, save 28%
- ✓Up to 6 people in your household
- ✓Unlimited filled forms
- ✓Unlimited saved forms
- ✓File conversions and locked (flat) PDFs
- ✓Stamp your saved signature
Frequently asked questions
Is FillOnce HIPAA-compliant?
No. FillOnce is not HIPAA-compliant and does not sign Business Associate Agreements, so clinics should not use it to handle patient records. For your own and your family's forms: once your one-time setup is done, saved details are stored encrypted with your key, so we can't read them, and we never send your data to third-party AI services. When you import a filled form, the extracted values pass through our API briefly for matching and are not stored. See our Security page and Privacy Policy for the details.
Can I manage forms for multiple people (kids, aging parents)?
Yes. The Plus plan supports up to 6 people, each with their own medical history, insurance, medication list, and emergency contacts. Pick the right person on each new patient packet.
What kind of patient intake forms does it support?
Standards-based web intake forms (with the Chrome extension) and PDF or Word intake packets (in the app). Many patient portals deliver forms in these formats; we don't guarantee a specific portal without testing it first.
Can I import data from a form I filled last visit?
Yes. On Home, choose “Save your details,” upload last visit's intake as PDF or Word, and FillOnce saves medications, allergies, surgeries, and family history in My details. The next structured blank intake can reuse those details when fields match.
What about prescription numbers, insurance IDs, and SSNs?
Stored encrypted (AES-256). You decide when they get filled. FillOnce flags sensitive fields for explicit confirmation before insertion.
Other lives, same forms
FillOnce works for anyone with forms. Pick the version that sounds most like you. The product underneath is the same.
Families & parents
Camp, school, sports, medical — reuse each kid’s details on the next PDF or Word packet without retyping.
Job seekers
Job, college, and scholarship applications. Reuse what you already typed; you review before you submit.
Renters & buyers
Rental apps and lease paperwork, save income and references once.