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Sign and send unlimited e-signatures with Xodo Sign.
Healthcare teams handle sensitive patient information every day with tools that support secure data handling. This includes the platforms they use to send documents and collect signatures.
With this in mind, we’re pleased to announce that Xodo Sign is now HIPAA compliant. The platform can support electronic signature workflows involving protected health information (PHI). Getting started just requires a signed BAA with Xodo Sign before sending PHI through the platform.
As an HIPAA-compliant eSignature platform, Xodo Sign can address common vendor-review requirements for hospitals, healthcare providers, health plans, and service partners.
The result? A simpler signing process built with retaining healthcare privacy in mind.
What is HIPAA compliance?
HIPAA compliance requires healthcare providers, health plans, and the companies that work with them to follow the U.S. Health Insurance Portability and Accountability Act and its rules.
The core rules of HIPPA:
- The Privacy Rule sets standards for permitted uses and disclosures of PHI.
- The Security Rule requires administrative, physical, and technical safeguards for electronic PHI.
- The Breach Notification Rule sets notification duties after a breach of unsecured PHI.
- The Enforcement Rule sets heavy legal fines for breaking these rules.
Together, these rules require organizations to control how PHI is used, protected, shared, and reported throughout its lifecycle.
Who needs HIPAA compliance?
HIPAA applies to certain healthcare organizations and the companies that handle PHI for them. These organizations include health plans, healthcare clearinghouses, and healthcare professionals that manage sensitive patient data electronically.
In an e-signature setting, that can include a software provider that creates, receives, maintains, or transmits PHI on a customer’s behalf.
Common documents include patient intake and consent forms, care authorizations, benefits paperwork, provider agreements, and other records that contain PHI.
What does HIPAA mean for an e-signature platform like Xodo Sign?
HIPAA does not set a specific method for collecting eSignatures. However, e-signature platforms must protect PHI throughout the signing process and support applicable contract and eSignature laws.
The central issue is how the platform handles PHI before, during, and after signing. Meeting these responsibilities calls for safeguards across technology, staff practices, internal policies, and service providers.
For Xodo Sign, our HIPAA attestation cites:
- Employee HIPAA training
- PHI privacy policies
- Encryption and password protection
- Physical security controls
- Recurring risk assessments
- Breach notification procedures
- Business associate agreements with relevant service partners
- Ongoing compliance monitoring
Moreover, Xodo Sign provides encrypted document handling, tamper-evident audit trails, and signer authentication options for signing activity. Teams can sign, send, and collect signatures faster while safeguarding PHI with greater confidence.
Benefits of HIPAA compliance for Xodo Sign users
HIPAA compliance gives Xodo Sign users a clearer path to electronic signature workflows involving PHI. Common advantages include:
More healthcare business opportunities
Users can present Xodo Sign for review by healthcare providers, health plans, and business associates. This can help businesses meet a common technology requirement when selling to or partnering with healthcare organizations.
Stronger safeguards for PHI
Xodo Sign’s tamper-evident documents, signer authentication, and activity logs support key HIPAA safeguards for access, data integrity, and audit controls. The compliance and security measures that are put in place help healthcare teams verify signers, detect document changes, and review how PHI was handled throughout the signing process.
Smoother vendor reviews
Xodo Sign’s HIPAA attestation provides documented information for security, legal, and procurement teams. This can reduce back-and-forth during vendor assessments, though each organization must still complete its own review.
Clear signing records
Xodo Sign records document views, signatures, timestamps, IP addresses, and other signing events. These audit trails give users a clear record for internal reviews, customer requests, and compliance checks.
Less reliance on paper forms
Healthcare teams can send documents for patient onboarding and collect signatures remotely while maintaining safeguards for PHI. This reduces printing, scanning, and manual follow-ups, allowing healthcare organizations to manage patient records, consent forms, agreements, and other healthcare documents with ease.
Frequently asked questions
1. Is Xodo Sign HIPAA compliant?
Yes. Xodo Sign is HIPAA compliant as of August 24, 2026. Its formal attestation covers Xodo Sign product workflows involving PHI.
2. Does HIPAA allow electronic signatures?
Yes. HIPAA doesn't prohibit electronic signatures or set a separate e-signature standard. HHS states that electronic documents and signatures can satisfy business associate contract requirements when they also meet applicable contract law. Other e-signature laws may govern legal validity.
3. Does using Xodo Sign make my organization HIPAA compliant?
No. A compliant vendor can support your program, but your organization must meet its own obligations. Policies, workforce training, access decisions, risk analysis, BAAs, incident response, and approved data-handling practices remain part of the customer’s responsibility. Your organization must have a signed BAA with Xodo Sign before uploading, sending, storing, or processing documents containing PHI through the platform.
4. Can existing Xodo Sign customers use it for PHI now?
Existing customers can evaluate Xodo Sign for PHI workflows under the attested scope. Before use, review your workflow with privacy and security owners, confirm contractual requirements with Xodo Sign, and apply suitable access and authentication settings.
5. Can customers request proof of Xodo Sign’s HIPAA compliance?
Yes. Xodo Sign has a formal HIPAA attestation letter available for customer security reviews. Contact the sales team to request documentation and discuss the scope relevant to your organization.
A more secure path for healthcare e-signatures
Existing Xodo Sign customers can now evaluate the platform for workflows involving PHI. Xodo Sign’s HIPAA compliance gives healthcare organizations and business associates a foundation to manage patient documents securely.
Contact Xodo Sign Sales to discuss your PHI workflows, HIPAA compliant electronic signatures, and review BAA requirements.
