India · United StatesDoctor-led care for India and the United StatesLimited placesMyDoctor Partner: zero upfront, limited placesFree appDownload the MyDoctor App on any deviceConciergeMedical Tourism Concierge of MyDoctor: written quotes before you travelDownload the MyDoctor App →
E-signature · home health · hospice · DME

Every order and document, signed and tracked

MyDoctor is built for the paperwork that moves between practices, home health agencies, hospices, DME suppliers and pharmacies. Fill the form once, send it for e-signature, and track it until it is signed and filed in the patient record.

Home health

  • CMS-485 home health certification and plan of care
  • Recertification every 60-day episode
  • Face-to-face encounter documentation
  • Verbal and interim orders, plan of care updates
  • Home health referral intake

Hospice

  • Certification of terminal illness, initial and recertification
  • Face-to-face attestation for the third benefit period onward
  • Hospice election statement
  • Hospice plan of care and interdisciplinary group review
  • Hospice referral intake

DME and prior authorization

  • DME standard written order
  • Proof of delivery
  • DME prior authorization request
  • Medication prior authorization request
  • DME referral intake

Care programs

  • Care plan oversight (CPO) monthly log
  • Chronic care management (CCM) care plan and time log
  • Transitional care management (TCM) contact and visit
  • Remote patient monitoring (RPM) setup and monthly log
  • Consent for each program
1Fill or uploadUse a MyDoctor form or upload your own PDF.
2Send for signatureTo a physician on MyDoctor, or to anyone by secure email link.
3Track itSent, opened, verified, signed or declined, with reminders.
4File itSigned copy and signature certificate saved to the patient record.

Electronic signatures follow the United States ESIGN Act and UETA. Signer identity is checked with a one-time code sent by email. Each document keeps a SHA-256 fingerprint so any change after signing shows up. Business Associate Agreement available on the portal. Payer and CMS rules for each document still apply; your agency remains responsible for its content.

Contact us

Tell us what you need

One form, and it goes straight to the right MyDoctor team. We usually reply within one working day.

  • Book a call to see the software
  • Care for you and your family
  • Plans for your company
  • Treatment and travel in another city or country
  • Partner, invest or join us

Use the MyDoctor portal, not email: send this form and every reply, file and update stays in My requests, private and recorded.

Already sent a request? See replies in My requests.

Not for medical emergencies. In an emergency call 108 / 112 (India) or 911 (United States).

Register freeGet the app
One question

Who are you?

Tap one to continue. We show the right plans, prices and wording for you. Change it any time from the top of the page.

For me and my family
Healthcare professionals
Organisations
Saved on this device only. One tap is enough.

We use essential cookies to run MyDoctor and keep your free checks. With your agreement we also count how our website is used (pages, time, where visits come from, city) to improve it. We never sell your data. Privacy policy