HIPAA-compliant · Built for orthopedic practices

Disability paperwork, automated.

FormVault handles FMLA, workers' comp, and state disability certifications end-to-end — intake to e-signature to delivery — so your practice can stop spending hours on forms.

FormVault
dr.kim@ortho.com

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147
This Month
12
Pending
28
Awaiting Sig
9
Sent Today
Marcus Rivera
Acme Logistics · FMLA WH-380-E
Pending Review
Janelle Park
Greater Valley · FMLA WH-380-E
Signed
Devin Okonkwo
Riverbend Mfg · Workers' Comp
In Review
100%
Audit trail per signature

Product

One workflow for every form your practice files.

Replace the binder of PDFs, faxes, and email threads with a single audit-ready system designed for orthopedic and medical practices.

Real PDF certification

FormVault fills WH-380-E, WH-380-F, and other AcroForm PDFs directly using pdf-lib. The downloaded PDF is the actual form your patient's employer or insurer expects.

In-app e-signature

Providers review and sign on the same screen. Every signature records the signer name, timestamp, and a SHA-256 document hash for full audit defensibility.

Patient self-service

Patients submit employer info and authorize release from any device — without calling the front desk.

Forms

The forms your patients actually need.

FMLA certification available now. Short-term disability, workers compensation, and state forms in development.

FMLA

FMLA WH-380-E

Deadline: 15 days

Available now
FMLA

FMLA WH-380-F

Deadline: 15 days

Available now
Return to Work

Return to Work

Deadline: Per employer policy

Available now
Disability

Short-Term Disability

Deadline: Per policy

Available now
Workers Comp

Workers' Compensation

Deadline: Varies

Available now
Disability

Long-Term Disability

Deadline: Per policy

Available now
State Disability

CA State Disability (SDI)

Deadline: 49 days

Coming soon
State Disability

NY Disability (DBL)

Deadline: 30 days

Coming soon
For health plans & self-insured employers

FormVault is free for your members and their providers.

Every disability or leave claim hinges on a certification that can't be processed until a provider signs it. FormVault accelerates that step — structured data, verified signatures, and a complete audit trail, delivered digitally.

Simple per-certification pricing. No member fees. No provider fees. No platform minimums.

FormVaultPayerBay Area Health Plan
Completed
Avg cycle
In-flight
Recent certifications · 🔒 No PHI shown
M.R. / Ac... / CL-22481
Pending Review
J.P. / Greater Valley / CL-22480
Signed
D.O. / Riverbend... / CL-22463
In Review

Security & compliance

Built for PHI from day one.

FormVault is designed for HIPAA compliance from the ground up. Full compliance — including BAA execution with all infrastructure vendors — will be in place before any practice goes live.

HIPAA-compliant infrastructure

PHI encrypted at rest (AES-256) and in transit (TLS). Row-level security in the database ensures each practice sees only their own patients.

Electronic signatures

Provider intent captured at the moment of signing. SHA-256 document hash stored with every form for legal defensibility and audit.

Complete audit trail

Every form view, signature, and delivery is logged with timestamp and actor identity. Immutable audit log, always available to FvAdmin.

Business Associate Agreements

BAA execution with Supabase, Vercel, and Resend is in progress and will be completed before any PHI is processed in production.

See FormVault on your practice's forms.

A 20-minute demo with your real workflow. We'll bring the WH-380-E.