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FillOnce

Built for patients & caregivers

Your medical history,
ready for the next clipboard.

Allergies, medications, surgeries, insurance, emergency contacts, stored once, encrypted, private. Fill structured patient intake forms from your vault, then review before you submit. Manage forms for your kids and aging parents from one place.

AES-256 encryption · Sensitive-field confirmation · Never sent to AI

Why FillOnce

Built for medical intake

Medications, allergies, family history, past surgeries, the long lists every new specialist demands. Stored once. Filled in seconds.

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

Encrypted in your browser before upload — we can read nothing but your login email. Matching never leaves our infrastructure. Your medical data isn’t training someone’s AI.

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 vault 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

1

Save details from a form you’ve filled

Upload a filled PDF, Word, or Excel form (or type a few details). FillOnce saves them under People, encrypted so we can't read them.

2

Open the next blank form

A standards-based web form in Chrome, or a fillable PDF, Word, or Excel sheet under Forms. FillOnce matches fields to your saved details.

3

Fill, review, download

FillOnce fills every matched field from your vault. You review and submit yourself. FillOnce never submits for you.

Built for real paperwork

Camp & school packets

Save last year’s form under People, fill this year’s blank packet.

Job applications

Save details from your résumé, then fill PDF or Word applications.

Rental & medical

Reuse income, insurance, and contacts without retyping every portal.

AES-256 encryption · Per-account isolation · Never auto-submits · Security · Compare

The autofill that doesn't spy on you

Browser autofill ships your data to a third party. Password managers only do logins and cards. FillOnce fills standards-based forms, fillable PDFs, Word documents, and Excel intake sheets from a vault you control — stored encrypted with your key, so we can't read them — and matching runs without handing your data to an outside AI service (see how we protect data).

Simple, honest pricing

Web-form autofill is available via the Chrome extension (beta — sideload from Settings; Chrome Web Store listing pending). Upgrade for unlimited documents and exports, supported file conversions, e-signature, and household profiles. Cancel anytime from your billing page.

Free

Try it free.

Free
  • Web-form autofill via Chrome extension (beta — sideload)
  • 1 person profile
  • 5 stored documents
  • 3 document exports / month
  • Encrypted, never sent to any AI
Start free

Pro

Most popular

For anyone who fills forms.

$9 CAD /mo

or $90 CAD/yr (2 months free)

  • Everything in Free
  • Unlimited documents & exports
  • Supported file conversions (e.g. XLSX ↔ CSV, flat PDF)
  • E-signature on documents
  • Priority support
Choose Pro

Family

One vault for the whole household.

$14.99 CAD /mo

or $149 CAD/yr (2 months free)

  • Everything in Pro
  • Up to 6 household members (kids, pets, contacts)
  • A separate profile for each member
  • Pick who a form is about and FillOnce uses their data
  • Camp / school / medical form ready
Choose Family

Frequently asked questions

Is FillOnce HIPAA-compliant?

FillOnce is a personal tool — you control your own data, and it's stored encrypted with your key so we can't read it. We never send your data to third-party AI services. We're not a covered entity under HIPAA, but the encryption model is built with medical data in mind, and you stay the owner. See our Privacy Policy for the details.

Can I manage forms for multiple people (kids, aging parents)?

Yes. The Family plan supports up to 6 profiles, 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. In Forms, choose “I have a filled form to save from,” upload last visit's intake as PDF or Word, and FillOnce saves medications, allergies, surgeries, and family history under People. Next visit's blank form fills in seconds.

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.

Autofill patient intake forms for the whole family · FillOnce