Give your members the ability to claim their money at any time with this mobile-friendly medical reimbursement form template. Just customize the form and embed it on your website so users can submit medical claims online from the convenience of their laptop, phone, or tablet.
Let users know their request has been received with automated confirmation emails that include copies of the submitted medical reimbursement form. Or, route the data to the appropriate team member to start processing the claim.
Keep forms short and relevant.
Choose exactly what questions users see with conditional logic that automatically updates the medical reimbursement form template as it’s being filled out. Create the illusion of a shorter form with “smart questions” that populate depending on how the previous one was answered.
Import your existing forms.
Already have a medical reimbursement form template available? Import it via URL or HTML to recreate it in the Formstack builder interface in a matter of minutes. Save hours of time by bypassing manual input and even updating your forms right in the platform.
Trusted by hundreds of healthcare providers across the country
Ready to get started?
Get access to this medical reimbursement form template and other healthcare forms when you start a free trial.