Is medical information kept on DocFilla?

Only for as long as you keep the document. By default, downloaded forms are deleted 24 hours later, and you can delete them right away.

Can the practice send me the intake form before my visit?

Yes. A practice keeps its intake form as a DocFilla template and sends each new patient their own copy; you complete and sign on your phone before you arrive.

Personal and family

Fill in a medical aid or patient form online

Upload the practice's intake form or the scheme's claim form and DocFilla fills your member number, ID number, address and next of kin. You add the visit details and sign the consent.

Patient intake sheets and medical aid claim forms ask for the member number, dependant code, ID number and address every single visit. DocFilla keeps them filled.

About 5 to 10 minutes with your details saved

Upload your medical and patient form

How it works for this form

1
Upload the practice's intake form or the scheme's claim form. Both fillable and printed versions work.
2
Member and personal details come from My details. Symptoms, dates of service and consent tick boxes are yours to complete.
3
Sign the consent, download and email the PDF to the practice or upload it to the scheme's portal.

What the form asks for

Patient's full names, ID number, date of birth and contact details
Medical aid scheme, plan, member number and dependant code
Main member's details, where the patient is a dependant
Address and next of kin
Allergies, chronic conditions and medication
Consent to treatment and to share information with the scheme
For a claim: the provider, the dates of service and the amounts
Signature and date

What to attach

Your medical aid card
A copy of your ID
For a claim: the provider's invoice with the practice number and tariff codes

Mistakes people make

Mixing up the member number and the dependant code.
Claiming under the dependant's name instead of the main member's.
Leaving allergies blank instead of writing 'none known'.
Submitting a claim without the practice number on the invoice.

Questions about this form

Is medical information kept on DocFilla?: Only for as long as you keep the document. By default, downloaded forms are deleted 24 hours later, and you can delete them right away.
Can the practice send me the intake form before my visit?: Yes. A practice keeps its intake form as a DocFilla template and sends each new patient their own copy; you complete and sign on your phone before you arrive.