Built for patients & caregivers
Your medical history,
ready for every clipboard.
Allergies, medications, surgeries, insurance, emergency contacts — stored once, encrypted, private. Fill any patient intake form in one click. Manage forms for your kids and aging parents from one place.
🔒 AES-256 encryption · Sensitive-field confirmation · Never sent to AI
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
AES-256 encryption at rest, per-account isolation, and matching that 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 — that first 30-minute clipboard, now a 30-second click.
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
Build your vault
Enter your details once — or import a form you've already filled and let FillOnce extract them. Sensitive fields are encrypted at rest.
Open the next form
A standards-based web form in your browser, or a fillable PDF or Word doc in the app. FillOnce detects the fields and matches them to your vault.
Fill in one click
Click once to fill every matched field. Review the result and submit yourself — FillOnce never submits for you.
AES-256 encryption · Per-account isolation · Never auto-submits · Built by one engineer who got tired of filling out forms
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, and Word documents from a vault you control, with AES-256 encryption at rest and strict per-account isolation — and matching runs without handing your data to an outside AI service (see how we protect data).
Simple, honest pricing
Web-form autofill is free, forever. Upgrade for unlimited documents, e-signature, and household profiles. Cancel in one click.
Free
Try the magic.
- ✓Unlimited web-form autofill
- ✓Vault for 1 person
- ✓5 stored documents
- ✓3 document exports / month
- ✓Encrypted — never sent to any AI
Pro
Most popularFor anyone who fills forms.
or $90/yr — 2 months free
- ✓Everything in Free
- ✓Unlimited documents & exports
- ✓E-signature on documents
- ✓Self-correcting field memory
- ✓Priority support
Family
One vault for the whole household.
or $149/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 — fills their data
- ✓Camp / school / medical form ready
Frequently asked questions
Is FillOnce HIPAA-compliant?
FillOnce is a personal tool — you control your own data. We use AES-256 encryption at rest, per-account isolation, and never send data to third-party AI services. We're not a covered entity under HIPAA, but the security model is designed for medical data — and you stay the owner.
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. Upload last visit's intake form as PDF or Word and FillOnce extracts your medications, allergies, surgeries, and family history into the vault. Next visit's 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.
Families & parents
Camp, school, sports, medical — for every kid, without re-typing.
Job seekers
Standards-based application forms and résumé PDFs — fill the next one in one click.
Small businesses
Onboarding, vendor, tax, and HR paperwork — across your whole team.
Renters & buyers
Rental apps, lease addenda, mortgage paperwork — your data, ready.
Students & applicants
College, FAFSA, scholarships, housing — built from forms you already filled.