The most affordable patient form completion solution. Period.

MedFiller is designed to be a single low cost solution for ALL patient paperwork. We have packages designed for DOT certified medical examiners, civil surgeons and even large multi-center operations. 

If you have questions or your needs are unique please, reach out to our sales team at sales at medfiller dot com with questions or call us at +1-888-899-2148

MedFiller DOT

The Easiest & Most Modern DOT Physical Exam Solution
$ 99
95
/Month
  • Includes Free Trial, Setup and 2 Training Sessions for Staff & DOT Examiners
  • No Per Exam Fee. Unlimited number of DOT forms every month with up to 5 DOT Certified Medical Examiners per clinic
  • DOT/FMCSA Certified Solution with Electronic Submissions of Results to the FMCSA. Immediate Submission Confirmation and Certificate.

MedFiller Immigration

I-693 Case Management Solution for Civil Surgeons
$ 129
95
/Month
  • Generate up-to-date and validated I-693 forms ready for signatures and paper submission
  • No Per Exam Fee. Unlimited number of I-693 forms every month for up to 2 civil surgeons per clinic
  • Patients electronically complete their portion of the I-693. Save, share & validate immunization records over multiple visits

MedFiller Custom & OccMed

Customized Workflow Solutions for ANY Patient Paperwork
$ 89
95
/Month*
  • Access to MedFiller Employer, Third Party & Long running case management Portal
  • Patients complete their portion (medical history) and upload supporting files/documents online on the MedFiller platform before their visit
  • Support for custom forms including advanced conditional workflows, medical history analysis, QR code enabled forms and more.

The above prices per month are per physical location (clinic or patient care site with the specified number of certified examiners). Discounts are available for low-volume clients and clinics – please inquire. If your organization processes more than 250 forms for patients every month and/or has mobile operations such as mobile clinics/testing facilities, please also do not hesitate to reach out to our sales team (via email at Sales at MedFiller dot com or call us at +1-888-899-2148 to discuss pricing customized for your needs. *For OccMed and Custom forms pricing varies depending on forms and does not include costs to integrate your custom forms into the MedFiller platform.

Some of the forms MedFiller Supports

 DOT Physicals (MCSA-5875/6)

 Immigration Physicals (I-693) 

 Coast Guard Physicals (CG719K) 

  FAA Basic Med 

 QR-Enabled COVID Test Results

  Pre-Employment Physicals

 Sports Physicals

  Lift Test

 Respirator Fit Test 

 Worker’s Comp Reports and Updates

  Car Accident Injury Report

 Audiometric Testing Report
  State and Local Police / Firefighter Physical
  Corporate Wellness Physicals & Annuals

 Insurance & Pre-Clearance Physicals

  OSHA Questionnaires

  New Patient Intake and History Forms
 Doctor’s Notes and Medical Opinion Letters

   Your Own Custom Form

Let MedFiller automate your existing / client specific form or design a new one from scratch

Standard Features

All the above packages come with the following features standard:

  • Customizable form specific landing pages with your clinic specific branding, instructions and procedures for patients to fill out their portion of forms
  • HIPAA compliant medium-term  storage for forms and patient uploaded supporting documents while they are being completed
  • Unlimited preview-before-print/submit functionality where you can generate and print PDFs for review before finalizing them for submission
  • Fully customizable provider specific auto-fill, pre-fill options for federal forms
  • Technical support via email and within the MedFiller system to resolve your concerns
  • Unlimited external email to patients and employers. You can also send completed forms as faxes from within MedFiller (10 cents/page) to insurance companies and employment agencies still relying on fax.

Talk to Us Today about getting started for free!

Call us today and we can answer your lingering questions. We can help you get started on our free trial without any commitment or credit card required. We are confident that you’ll save so much time with MedFiller that you will want to move to the premium versions without hesitations.