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ePRO, eCOA, intake, consent, screening — eliminate every paper form, every clipboard, every manual data entry error. 70% of patients prefer digital. Your platform should too.
From symptom assessments to consent forms — patients complete everything from their smartphones. Data flows straight to your system.
Weekly Symptom Assessment
Oncology — Post-Chemotherapy Monitoring
Patients who forget get automatic SMS & email reminders until the form is completed.
Same form delivered in the patient's preferred language. Data returns in English.
Responses feed directly into dashboards. Worsening trends trigger care team alerts.
NCCN Distress Thermometer
Oncology — Psychosocial Screening
Show or hide sections based on answers. Score ≥ 4 auto-triggers additional questions.
Thousands of pre-built, clinically validated questionnaires ready to deploy in minutes.
Set it once — forms auto-send weekly, monthly, or at any interval you define.
New Patient Registration
Demographics, Insurance & Medical History
Patients fill forms from their couch — no clipboards, no waiting room delays.
Data flows via REST API into your EHR. Zero manual entry, zero transcription errors.
Mandatory fields enforced. Patients can't submit incomplete forms.
Treatment Consent Form
Infusion Therapy — Informed Consent
Secure, encrypted, and compliant. Every signature timestamped and audit-trailed.
Patient, provider, and witness signatures in a single workflow.
Completed forms auto-map to PDF templates and attach to the patient record.
PHQ-9 Depression Screening
Behavioral Health — Standardized Instrument
Describe your form in plain English — AI generates it instantly.
PHQ-9, GAD-7, NCCN — auto-score and flag high-risk patients.
Attach patient education materials directly inside forms.
89% of clinics still manage forms manually. Every paper form carries direct costs you see — and hidden costs you don't.
Staff prints paper forms and hands them to patients in the waiting room — or emails PDFs that patients must print themselves.
Patients fill out forms with pen and paper. Handwriting is often illegible. Fields get skipped. Information is incomplete.
Clinic staff manually checks every form for missing fields. Incomplete forms require chasing down the patient for corrections.
Staff manually types every field into the EHR. Typos and misreads create errors that may not surface until billing or treatment.
The paper is scanned and attached to the patient record as an image — unsearchable, unstructured, and taking up storage.
Replace every paper form with an intelligent digital equivalent. Patients complete forms from their smartphones. Data flows directly into your system — 100% complete, 100% accurate.
Your EHR or backend makes a secure REST API call to MemberCare's cloud platform to request a form for a specific patient.
MemberCare sends the request to the patient via SMS and email. One tap opens the form — no app download required.
Patients fill forms from their smartphone or computer browser. Mandatory fields ensure 100% completeness before submission.
If a patient forgets, automatic reminders are sent via SMS and email until the form is completed.
MemberCare publishes structured response data to your EHR in real-time. Discrete data fields, auto-generated PDFs, zero manual entry.
Describe your form in plain English and AI generates it instantly. Or use our drag-and-drop builder with thousands of pre-built clinical questions.
Describe your form in plain English. Our AI generates the complete form instantly — questions, validations, conditional logic, and all.
Thousands of clinically validated questions across every specialty. Build complex forms in minutes by selecting from the library.
Show or hide sections based on patient answers. Gender-specific questions, age-based routing, score-triggered follow-ups.
Drag a signature component onto any form. Multi-party signing workflows for patient, provider, and witness.
Patients who forget get automatic SMS and email reminders on your schedule until the form is completed.
White-label everything. Your logo, your colors, your fonts. Patients see your brand, not ours.
Deploy forms in any language. Patients respond in their preferred language; data returns in English.
Bundle multiple forms into packages. Send an entire new patient onboarding set in a single request.
Attach patient education materials directly inside forms. Patients learn as they go — no separate channel needed.
Whether you need ePRO symptom tracking or multi-party consent — it's all one platform, one API, one workflow.
Patient-reported outcomes for symptom tracking, quality of life assessments, and treatment response monitoring between visits.
Clinician-administered and observer-reported outcomes using validated instruments. Auto-scoring for PHQ-9, GAD-7, NCCN, and more.
New patient registration, demographics, insurance verification, and medical history — completed before the patient walks in.
Informed consent, treatment authorization, HIPAA acknowledgment, and financial agreements with legally binding digital signatures.
Depression (PHQ-9), anxiety (GAD-7), distress (NCCN), fall risk, nutritional assessment, and dozens of validated screening instruments.
Deliver educational content alongside forms. Treatment guides, medication instructions, and post-procedure care — all in one flow.
No middleware. No manual bridging. Your system triggers forms and receives structured data back — all automated.
Makes secure API call with patient context
Sends form via SMS & email to patient
Completes form on smartphone or computer
Auto-scores, generates PDF, maps data fields
Receives structured data + PDF in real-time
Every paper form you eliminate saves time, reduces errors, and improves the patient experience. At scale, the savings are transformational.
Don't spend 9 months and $650K building what you can launch in 30 days. White-label our platform under your brand and start generating high-margin recurring revenue.
See how MemberCare's digital forms platform can save your organization millions while improving patient satisfaction.
Or call us: 214.226.5319