HIPAA-Compliant Cloud Fax, Built for Healthcare

Documo Cloud Fax is a HIPAA-compliant online fax service built for healthcare — send and receive medical faxes from any browser, with no fax machine, no phone lines, and no hardware to maintain. Every plan includes a signed BAA, so providers, clinics, and hospitals can handle PHI compliantly from the first login.

HIPAA + BAA
SOC 2 Type II
99.9% Uptime
99.8% Deliverability
How Cloud Fax Works

From Your Browser to the Patient Record — Encrypted End to End

  1. 1
    Compose or Upload
    Send from your browser, email, EHR, or the Documo fax API — no machine required.
  2. 2
    Encrypted Transmission
    Sent over TLS 1.2+ with AES-256; TLS 1.0/1.1 disabled, so no unencrypted gaps.
  3. 3
    Confirmation + Audit Log
    Real-time delivery status, with every action written to a detailed audit trail.
  4. 4
    Intelligent Routing
    Inbound faxes route to the right inbox, EHR, or workflow automatically.

HIPAA-Compliant Fax, Built Into the Platform — Not Bolted On

Documo is built for regulated healthcare from the architecture up. HIPAA compliance is included on every plan — not reserved for higher tiers.
  • BAA on Every Account
    Signed at no upcharge. A single BAA covers all Documo products, with custom enterprise language available.
  • Audit Logging
    Every action, every user, every document — logged and ready for compliance review.
  • Encryption Everywhere
    AES-256 at rest — NIST FIPS 140-2 validated, encrypted by default, with keys managed through Google Cloud KMS — and TLS 1.2 minimum in transit, with TLS 1.0/1.1 disabled.
  • Independently Verified
    SOC 2 Type II (AICPA) & HIPAA today; HITRUST e1 certification in progress. PIPEDA supported, with a DPA and Canadian data residency options for eligible, PIPEDA-scoped workflows.

See the full Security & Compliance page and Trust Center

Built for the Scrutiny of Enterprise Healthcare Procurement

Security is architectural at Documo — not bolted on. Your security team can validate Documo on the same evidence they’d demand of any enterprise vendor, mapped to the SOC 2 Trust Services Criteria.

  • SOC 2 Type II report — independently audited, annual cycle.

  • HITRUST e1 — 44 essential controls, independently assessed — plus an encryption & security overview.

    In Progress
  • Pre-completed security questionnaire — accelerates your risk assessment.

  • Data Processing Addendum — PIPEDA & data residency options.

  • One BAA covers all products — one platform, one security standard.

Visit Trust Center
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Security
Systems are protected against unauthorized access, physical and logical. Access controls, encryption, and intrusion detection are all tested.
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Availability
Systems are available for operation and use per our SLA commitments, tested through uptime monitoring, incident response, and recovery procedures.
Security
Privacy
Personal information is collected, used, retained, and disposed of in line with our privacy commitments.
Security & Compliance
Confidentiality
Information designated as confidential is protected per our commitments. PHI and sensitive business data are handled according to documented policies.

No setup fees. No contracts. Cancel anytime.

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Why Healthcare Teams Choose Documo for HIPAA-Compliant Fax

Reduce Manual Work
Eliminate re-keying and manual routing with automation and OCR.
HIPAA-Compliant by Design
Encryption, detailed audit trails, and a BAA on every plan.
Accelerate Workflows
Real-time status and intelligent routing move documents faster.
Scale Effortlessly
Built for high-volume hospitals, health systems, and multi-site clinics.
Native Integrations
Connect to EHR/EMR systems directly or via the fax API.
US-Based Support
A US-based team of fax experts, from onboarding through scale.
# Send a fax with the Documo Cloud Fax API
curl -X POST https://api.documo.com/v1/fax/send \
  -H "Authorization: Bearer <API_KEY>" \
  -F recipientFax="+15551234567" \
  -F coverPage="true" \
  -F subject="Patient referral" \
  -F file="@referral.pdf"
Illustrative — see the API documentation for full parameters and authentication.
Developers and Integrators

Build Fax into Your Application with the Cloud Fax API

Documo's REST-based Cloud Fax API lets your team send and receive faxes — and trigger intelligent document processing — directly from your own application, under the same HIPAA compliance and BAA as the rest of the platform.
  • Send & receive programmatically — inbound and outbound fax over a simple REST API, with automatic cover-page generation.

  • Real-time delivery status — track each fax and pull delivery metadata for auditing and reporting.

  • Built in your stack — examples for cURL, Node.js, Python, PHP, and Ruby; authenticate with an API key.

  • Test before you ship — a full sandbox environment to build and validate integrations.

  • One BAA, one standard — the API inherits the same HIPAA compliance and SOC 2 controls as every Documo product.

Your Fax Doesn't Need to Stop at Delivery.

  • Every fax contains work.

  • Referrals need to be scheduled.

  • Orders need to reach the right department.

  • Medical records need to be filed.

  • Prior authorizations need to move quickly.

Documo classifies, matches, and routes incoming documents into your existing workflows—so your staff spends less time processing paperwork and more time helping patients.

See How Document Workflows Work
  • Regalo Health
  • Two medical professionals enjoying HIPAA-compliant cloud fax services
  • Questions You Might Have About Documo's HIPAA-Compliant Cloud Fax

    Can’t find an answer? Check our Help Center or email us.

      Start with the BAA — a vendor that will not sign a Business Associate Agreement cannot be used for PHI, regardless of how it markets its encryption. From there: encryption in transit and at rest, an independent attestation such as SOC 2 Type II, comprehensive audit logging, role-based access controls, and integration with the systems your team already uses. Confirm the BAA is included on the plan you actually intend to buy, not only at enterprise tiers.
      Yes — cloud fax, online fax, and internet fax all describe sending and receiving faxes over an internet connection instead of a dedicated phone line. “Cloud fax” usually implies the service is fully hosted, with no on-premise fax server to maintain. Documo Cloud Fax is a cloud-based online fax service, so there is no hardware or fax server to run.
      HIPAA does not certify fax services — no vendor can be “HIPAA certified.” Compliance depends on how Protected Health Information (PHI) is handled at every step, and on whether the vendor will sign a Business Associate Agreement (BAA) covering that handling.
      Under the HIPAA Security Rule (45 CFR §164.302–318), a compliant fax workflow must satisfy three categories of safeguards: administrative (risk management, workforce training, access policies), physical (control over facilities and devices where PHI is stored), and technical (access control, audit controls, integrity controls, and transmission security).
      A traditional fax machine struggles with all three — pages sit in an output tray where anyone can read them, a misdialed number sends PHI to a stranger with no way to recall it, and there is no reliable record of who retrieved a document or when. A HIPAA-compliant cloud fax service closes those gaps in software.

      Cloud fax can be deployed quickly with minimal disruption, especially when paired with familiar tools like print-to-fax or fax-to-email.

      Yes. Comprehensive audit logs provide visibility into fax activity, supporting compliance, investigations, and operational oversight.

      Yes. Documo’s platform is designed to support high-volume healthcare environments such as hospitals, health systems, and large clinics.

      Cloud fax eliminates manual handling, accelerates document delivery, and enables automation when combined with fax APIs and intelligent document processing.

      Absolutely. Documo’s cloud fax integrates with EHRs and other healthcare systems directly or through APIs, enabling seamless document exchange within clinical workflows.

      Fax remains deeply embedded in healthcare because it aligns with regulatory expectations, interoperability needs, and existing workflows. Cloud fax enhances fax with modern security, visibility, and automation—without disrupting established processes.

      Yes. Cloud fax can fully replace physical fax machines, or it can work alongside existing devices using Documo’s fax machine connector to support hybrid environments.

      Documo maps PHI protection to HIPAA’s technical safeguards. Transmission security: TLS 1.2 minimum in transit with TLS 1.0/1.1 disabled, and AES-256 at rest — NIST FIPS 140-2 validated and encrypted by default. Access control: role-based permissions across all products, with SSO and SCIM directory sync. Audit controls: comprehensive audit logging of fax activity, available for compliance review. See the full Security & Compliance page or visit the Trust Center.
      Yes. Documo Cloud Fax is a HIPAA-compliant cloud fax service built specifically for regulated industries like healthcare, with encryption, access controls, and audit logging throughout. A signed BAA is included on every account at no upcharge — covering every Documo product, not just higher plan tiers. Documo is also SOC 2 Type II audited, with HITRUST e1 certification actively in progress.

      Cloud fax modernizes traditional faxing by securely transmitting documents over the internet instead of phone lines. For healthcare organizations, cloud fax preserves the reliability and regulatory trust of fax while enabling faster delivery, digital access, and HIPAA-compliant handling of patient information.