Every Paper Form.
Now Digital. Now Revenue.
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.
Any Form. Any Language. Any Device.
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
Auto-Reminders
Patients who forget get automatic SMS & email reminders until the form is completed.
Multi-Language
Same form delivered in the patient's preferred language. Data returns in English.
Trending & Alerts
Responses feed directly into dashboards. Worsening trends trigger care team alerts.
NCCN Distress Thermometer
Oncology — Psychosocial Screening
Conditional Logic
Show or hide sections based on answers. Score ≥ 4 auto-triggers additional questions.
Validated Instruments
Thousands of pre-built, clinically validated questionnaires ready to deploy in minutes.
Recurring Schedules
Set it once — forms auto-send weekly, monthly, or at any interval you define.
New Patient Registration
Demographics, Insurance & Medical History
Complete Before Arrival
Patients fill forms from their couch — no clipboards, no waiting room delays.
Direct EHR Integration
Data flows via REST API into your EHR. Zero manual entry, zero transcription errors.
100% Completeness
Mandatory fields enforced. Patients can't submit incomplete forms.
Treatment Consent Form
Infusion Therapy — Informed Consent
HIPAA Compliant
Secure, encrypted, and compliant. Every signature timestamped and audit-trailed.
Multi-Party Signing
Patient, provider, and witness signatures in a single workflow.
Auto-Generated PDF
Completed forms auto-map to PDF templates and attach to the patient record.
PHQ-9 Depression Screening
Behavioral Health — Standardized Instrument
AI Form Designer
Describe your form in plain English — AI generates it instantly.
Auto-Scoring
PHQ-9, GAD-7, NCCN — auto-score and flag high-risk patients.
Embedded Education
Attach patient education materials directly inside forms.
The Hidden Cost
of Paper Forms
89% of clinics still manage forms manually. Every paper form carries direct costs you see — and hidden costs you don't.
Print & Hand Out
Staff prints paper forms and hands them to patients in the waiting room — or emails PDFs that patients must print themselves.
Patient Fills by Hand
Patients fill out forms with pen and paper. Handwriting is often illegible. Fields get skipped. Information is incomplete.
Staff Reviews for Completeness
Clinic staff manually checks every form for missing fields. Incomplete forms require chasing down the patient for corrections.
Manual Data Entry
Staff manually types every field into the EHR. Typos and misreads create errors that may not surface until billing or treatment.
Scan & Attach
The paper is scanned and attached to the patient record as an image — unsearchable, unstructured, and taking up storage.
The Digital
Experience
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 System Makes an API Call
Your EHR or backend makes a secure REST API call to MemberCare's cloud platform to request a form for a specific patient.
Patient Gets SMS & Email
MemberCare sends the request to the patient via SMS and email. One tap opens the form — no app download required.
Patient Completes on Any Device
Patients fill forms from their smartphone or computer browser. Mandatory fields ensure 100% completeness before submission.
Auto-Reminders If Needed
If a patient forgets, automatic reminders are sent via SMS and email until the form is completed.
Data Flows to Your System
MemberCare publishes structured response data to your EHR in real-time. Discrete data fields, auto-generated PDFs, zero manual entry.
Design Any Form in Minutes.
Or Let AI Do It.
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.
AI-Powered Design
Describe your form in plain English. Our AI generates the complete form instantly — questions, validations, conditional logic, and all.
Pre-Built Question Library
Thousands of clinically validated questions across every specialty. Build complex forms in minutes by selecting from the library.
Conditional Logic
Show or hide sections based on patient answers. Gender-specific questions, age-based routing, score-triggered follow-ups.
Digital Signatures
Drag a signature component onto any form. Multi-party signing workflows for patient, provider, and witness.
Automatic Reminders
Patients who forget get automatic SMS and email reminders on your schedule until the form is completed.
Custom Branding
White-label everything. Your logo, your colors, your fonts. Patients see your brand, not ours.
Multi-Language Support
Deploy forms in any language. Patients respond in their preferred language; data returns in English.
Form Packages
Bundle multiple forms into packages. Send an entire new patient onboarding set in a single request.
Embedded Education
Attach patient education materials directly inside forms. Patients learn as they go — no separate channel needed.
One Platform. Every Form Type.
Whether you need ePRO symptom tracking or multi-party consent — it's all one platform, one API, one workflow.
ePRO
Patient-reported outcomes for symptom tracking, quality of life assessments, and treatment response monitoring between visits.
eCOA
Clinician-administered and observer-reported outcomes using validated instruments. Auto-scoring for PHQ-9, GAD-7, NCCN, and more.
Patient Intake
New patient registration, demographics, insurance verification, and medical history — completed before the patient walks in.
Consent & eSignatures
Informed consent, treatment authorization, HIPAA acknowledgment, and financial agreements with legally binding digital signatures.
Screening Tools
Depression (PHQ-9), anxiety (GAD-7), distress (NCCN), fall risk, nutritional assessment, and dozens of validated screening instruments.
Patient Education
Deliver educational content alongside forms. Treatment guides, medication instructions, and post-procedure care — all in one flow.
Connects to Any EHR via REST API
No middleware. No manual bridging. Your system triggers forms and receives structured data back — all automated.
Your EHR
Makes secure API call with patient context
MemberCare
Sends form via SMS & email to patient
Patient
Completes form on smartphone or computer
Processing
Auto-scores, generates PDF, maps data fields
Your System
Receives structured data + PDF in real-time
The ROI Speaks for Itself
Every paper form you eliminate saves time, reduces errors, and improves the patient experience. At scale, the savings are transformational.
Build vs. Buy vs. Partner
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.
- 6-9 months to market
- $200K+ annual maintenance
- Healthcare concepts not built-in
- Very high risk
- 1-2 months to market
- $40K-$100K annual cost
- Not healthcare-specific
- No white-label capability
- Less than 30 days to market
- $5K annual cost
- Healthcare-native platform
- Full white-label capability
Ready to Eliminate Paper?
See how MemberCare's digital forms platform can save your organization millions while improving patient satisfaction.
Or call us: 214.226.5319