Quick Overview
- 1#1: DocuSign - Provides secure, legally binding electronic signatures with full HIPAA compliance and robust audit trails for healthcare documents.
- 2#2: Adobe Acrobat Sign - Delivers enterprise-grade e-signatures compliant with HIPAA standards, featuring advanced security and seamless integrations.
- 3#3: OneSpan Sign - Offers advanced digital signature solutions with HIPAA Business Associate Agreement for regulated healthcare environments.
- 4#4: Dropbox Sign - Enables HIPAA-compliant electronic signing integrated with secure file storage for efficient healthcare workflows.
- 5#5: RightSignature - Specializes in legally binding e-signatures with comprehensive HIPAA compliance tailored for professional services.
- 6#6: SignNow - Streamlines HIPAA-compliant e-signatures with mobile support and customizable workflows for healthcare teams.
- 7#7: PandaDoc - Combines document automation and HIPAA-secure e-signatures for sales and healthcare contract management.
- 8#8: Zoho Sign - Affordable HIPAA-compliant e-signature tool integrated with Zoho suite for small to mid-sized healthcare practices.
- 9#9: Formstack Sign - Provides HIPAA-compliant signatures alongside form building for streamlined healthcare data collection.
- 10#10: Jotform Sign - Offers user-friendly HIPAA-compliant e-signatures embedded in customizable forms for healthcare consent processes.
Tools were chosen based on compliance rigor (HIPAA Business Associate Agreements), feature robustness (security, audit trails), user experience (ease of use, integration), and overall value to ensure they deliver reliable, practical solutions for healthcare workflows.
Comparison Table
Selecting the right HIPAA-compliant electronic signature software requires clarity on features and security; this comparison table breaks down top tools like DocuSign, Adobe Acrobat Sign, OneSpan Sign, and more, helping readers identify the best fit for their organization's needs.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | DocuSign Provides secure, legally binding electronic signatures with full HIPAA compliance and robust audit trails for healthcare documents. | enterprise | 9.7/10 | 9.8/10 | 9.4/10 | 9.2/10 |
| 2 | Adobe Acrobat Sign Delivers enterprise-grade e-signatures compliant with HIPAA standards, featuring advanced security and seamless integrations. | enterprise | 9.1/10 | 9.4/10 | 8.9/10 | 8.6/10 |
| 3 | OneSpan Sign Offers advanced digital signature solutions with HIPAA Business Associate Agreement for regulated healthcare environments. | enterprise | 8.7/10 | 9.3/10 | 8.2/10 | 7.8/10 |
| 4 | Dropbox Sign Enables HIPAA-compliant electronic signing integrated with secure file storage for efficient healthcare workflows. | enterprise | 8.6/10 | 8.4/10 | 9.2/10 | 8.1/10 |
| 5 | RightSignature Specializes in legally binding e-signatures with comprehensive HIPAA compliance tailored for professional services. | specialized | 8.2/10 | 8.5/10 | 8.0/10 | 7.8/10 |
| 6 | SignNow Streamlines HIPAA-compliant e-signatures with mobile support and customizable workflows for healthcare teams. | enterprise | 8.3/10 | 8.1/10 | 9.0/10 | 8.5/10 |
| 7 | PandaDoc Combines document automation and HIPAA-secure e-signatures for sales and healthcare contract management. | enterprise | 8.2/10 | 8.7/10 | 8.4/10 | 7.8/10 |
| 8 | Zoho Sign Affordable HIPAA-compliant e-signature tool integrated with Zoho suite for small to mid-sized healthcare practices. | enterprise | 8.2/10 | 8.0/10 | 8.5/10 | 9.0/10 |
| 9 | Formstack Sign Provides HIPAA-compliant signatures alongside form building for streamlined healthcare data collection. | specialized | 8.1/10 | 8.3/10 | 8.5/10 | 7.7/10 |
| 10 | Jotform Sign Offers user-friendly HIPAA-compliant e-signatures embedded in customizable forms for healthcare consent processes. | specialized | 7.6/10 | 7.2/10 | 9.1/10 | 8.0/10 |
Provides secure, legally binding electronic signatures with full HIPAA compliance and robust audit trails for healthcare documents.
Delivers enterprise-grade e-signatures compliant with HIPAA standards, featuring advanced security and seamless integrations.
Offers advanced digital signature solutions with HIPAA Business Associate Agreement for regulated healthcare environments.
Enables HIPAA-compliant electronic signing integrated with secure file storage for efficient healthcare workflows.
Specializes in legally binding e-signatures with comprehensive HIPAA compliance tailored for professional services.
Streamlines HIPAA-compliant e-signatures with mobile support and customizable workflows for healthcare teams.
Combines document automation and HIPAA-secure e-signatures for sales and healthcare contract management.
Affordable HIPAA-compliant e-signature tool integrated with Zoho suite for small to mid-sized healthcare practices.
Provides HIPAA-compliant signatures alongside form building for streamlined healthcare data collection.
Offers user-friendly HIPAA-compliant e-signatures embedded in customizable forms for healthcare consent processes.
DocuSign
enterpriseProvides secure, legally binding electronic signatures with full HIPAA compliance and robust audit trails for healthcare documents.
HIPAA-specific edition with automatic BAA signing, PHI-safe envelopes, and compliant access controls
DocuSign is a leading cloud-based electronic signature platform that allows users to send, sign, track, and manage agreements securely from any device. It excels in HIPAA compliance through its dedicated Business Associate Agreement (BAA), advanced encryption, audit trails, and features tailored for healthcare like secure signer authentication and PHI protection. Widely trusted by enterprises, it integrates seamlessly with EHR systems such as Epic and Cerner, streamlining workflows while ensuring regulatory adherence.
Pros
- Robust HIPAA compliance with BAA, end-to-end encryption, and tamper-evident audit trails
- Extensive integrations with 1,000+ apps including major EHRs like Epic and Salesforce
- Scalable for enterprises with advanced automation, templates, and workflow management
Cons
- Higher pricing tiers required for full HIPAA features and enterprise-scale use
- Steeper learning curve for complex custom workflows and API integrations
- Occasional delays in support response during peak usage periods
Best For
Healthcare organizations and enterprises needing secure, scalable HIPAA-compliant e-signatures with deep integrations.
Pricing
Personal: $10/user/month; Standard: $25/user/month; Business Pro: $40/user/month; Enterprise custom pricing with HIPAA BAA included.
Adobe Acrobat Sign
enterpriseDelivers enterprise-grade e-signatures compliant with HIPAA standards, featuring advanced security and seamless integrations.
Native Adobe Acrobat integration for editing, signing, and securing PDFs with HIPAA-compliant encryption and audit logs
Adobe Acrobat Sign is a robust electronic signature platform integrated with Adobe's Document Cloud, enabling users to send, sign, track, and manage legally binding documents securely. It supports advanced workflows, templates, and integrations with tools like Microsoft 365 and Salesforce. For HIPAA compliance, it provides a Business Associate Agreement (BAA), end-to-end encryption, tamper-evident audit trails, and secure storage for protected health information (PHI), making it suitable for healthcare environments.
Pros
- Enterprise-grade HIPAA compliance with BAA and audit trails
- Seamless integration with Adobe Acrobat for PDF editing and signing
- Advanced automation, templates, and API for complex workflows
Cons
- Higher pricing for full HIPAA-enabled enterprise features
- Steeper learning curve for advanced customization
- Limited free tier; best suited for paid enterprise use
Best For
Mid-to-large healthcare organizations needing secure, compliant e-signatures integrated with PDF management and CRM systems.
Pricing
Starts at $9.99/user/month for Standard; Business plan at $24.99/user/month; Enterprise with HIPAA BAA is custom-priced.
OneSpan Sign
enterpriseOffers advanced digital signature solutions with HIPAA Business Associate Agreement for regulated healthcare environments.
Biometric signer authentication combined with proof-of-presence technology for superior identity verification in HIPAA-regulated environments
OneSpan Sign is an enterprise-grade electronic signature platform that delivers secure, legally binding digital signatures with a strong emphasis on compliance, particularly HIPAA for healthcare workflows. It offers features like tamper-evident audit trails, advanced authentication methods including biometrics, and seamless integrations with EHR systems and CRM tools. Designed for high-security environments, it enables organizations to manage consents, treatment plans, and patient agreements while maintaining data privacy and regulatory adherence.
Pros
- HIPAA-compliant with Business Associate Agreement (BAA) and no-data-retention options
- Advanced security including biometric authentication and tamper-proof seals
- Deep integrations with healthcare systems like Epic and Cerner
Cons
- Enterprise pricing requires custom quotes and can be costly for smaller teams
- Steeper learning curve due to extensive customization options
- Limited self-service options; often needs IT setup for full deployment
Best For
Mid-to-large healthcare organizations and enterprises handling sensitive PHI that require robust, scalable e-signature compliance.
Pricing
Custom enterprise pricing based on volume and features; typically starts at $20-50/user/month with quotes required from sales.
Dropbox Sign
enterpriseEnables HIPAA-compliant electronic signing integrated with secure file storage for efficient healthcare workflows.
Native Dropbox integration that automatically saves and organizes signed documents in secure, compliant folders
Dropbox Sign, formerly HelloSign, is a cloud-based electronic signature platform that enables users to request signatures, track document status, and manage workflows securely. It offers HIPAA compliance through its Business and Enterprise plans, including a signed Business Associate Agreement (BAA), encryption, and audit trails tailored for healthcare providers handling protected health information. Integrated deeply with Dropbox, it streamlines document storage, sharing, and collaboration while supporting templates, reminders, and mobile signing.
Pros
- Intuitive interface with drag-and-drop simplicity
- Seamless Dropbox integration for automatic secure storage
- HIPAA BAA and compliance features like audit logs and encryption
Cons
- Fewer advanced workflow automations than enterprise leaders like DocuSign
- High-volume signing can increase costs on per-envelope pricing
- Limited native integrations outside the Dropbox ecosystem
Best For
Small to mid-sized healthcare practices or clinics needing user-friendly HIPAA-compliant e-signatures with easy Dropbox file management.
Pricing
Essentials at $15/user/month (no HIPAA); Business at $25/user/month (includes HIPAA BAA, unlimited envelopes); Enterprise custom pricing.
RightSignature
specializedSpecializes in legally binding e-signatures with comprehensive HIPAA compliance tailored for professional services.
HIPAA-compliant secure document storage with automatic PHI redaction and tamper-evident audit logs
RightSignature is a secure electronic signature platform owned by Citrix, specializing in legally binding e-signatures with robust compliance features tailored for regulated industries. It offers HIPAA-compliant solutions through a Business Associate Agreement (BAA), end-to-end encryption, and detailed audit trails to protect PHI during document signing and storage. Key functionalities include customizable templates, sequential routing, mobile signing, and integrations with tools like Salesforce and Microsoft Office.
Pros
- Strong HIPAA compliance with BAA and PHI encryption
- Comprehensive audit trails and sequential signing workflows
- Reliable integrations with CRM and productivity tools
Cons
- Pricing can be steep for smaller teams without volume discounts
- Interface feels dated compared to newer competitors
- Limited advanced automation in entry-level plans
Best For
Healthcare organizations and compliance-heavy businesses needing secure, auditable e-signatures for PHI-sensitive documents.
Pricing
Starts at $20/user/month for Essentials (billed annually), $30/user/month for Pro, with Enterprise custom pricing including full HIPAA support.
SignNow
enterpriseStreamlines HIPAA-compliant e-signatures with mobile support and customizable workflows for healthcare teams.
Conditional logic fields that dynamically show/hide form elements based on user responses, enhancing efficiency for complex HIPAA forms.
SignNow is a versatile cloud-based electronic signature platform that allows users to create, send, sign, and track documents securely from any device. It achieves HIPAA compliance through a Business Associate Agreement (BAA) available on Enterprise plans, enabling secure handling of protected health information (PHI) with robust encryption, audit trails, and access controls. Ideal for streamlining workflows in healthcare, it supports templates, conditional fields, and integrations with tools like Google Workspace and Microsoft 365.
Pros
- Intuitive drag-and-drop interface for quick setup
- Strong mobile app with offline signing capabilities
- Affordable entry-level pricing with scalable HIPAA-compliant Enterprise options
Cons
- HIPAA BAA limited to Enterprise plans with custom pricing
- Fewer native integrations compared to top competitors like DocuSign
- Advanced reporting and analytics require higher tiers
Best For
Small to mid-sized healthcare providers and clinics seeking an user-friendly, cost-effective HIPAA-compliant e-signature tool for routine document workflows.
Pricing
Business plan at $15/user/month (billed annually); HIPAA compliance via Enterprise plan with custom pricing starting around $30/user/month plus BAA.
PandaDoc
enterpriseCombines document automation and HIPAA-secure e-signatures for sales and healthcare contract management.
Advanced document analytics providing real-time insights into viewer engagement and completion rates
PandaDoc is a versatile document automation platform that streamlines the creation, collaboration, tracking, and electronic signing of proposals, contracts, and other business documents. It supports HIPAA compliance through a Business Associate Agreement (BAA), enabling secure handling of protected health information in healthcare settings. Key features include customizable templates, real-time analytics, and audit trails for e-signatures, making it suitable for regulated industries beyond just basic signing.
Pros
- Robust document automation with dynamic templates and conditional logic
- HIPAA-compliant e-signatures with comprehensive audit trails and BAA support
- Seamless integrations with CRM tools like Salesforce and payment gateways
Cons
- Enterprise pricing for HIPAA features can be costly and custom-quoted
- Less specialized for pure healthcare workflows compared to dedicated e-signature tools
- Advanced features may require time to master despite intuitive design
Best For
Healthcare sales, marketing, and admin teams needing integrated document creation, tracking, and compliant e-signing in one platform.
Pricing
Essentials at $19/user/month, Business at $49/user/month; HIPAA BAA and compliance require Enterprise plan (custom pricing, typically $59+/user/month).
Zoho Sign
enterpriseAffordable HIPAA-compliant e-signature tool integrated with Zoho suite for small to mid-sized healthcare practices.
HIPAA-compliant Business Associate Agreement with automated audit trails for healthcare document workflows
Zoho Sign is a versatile cloud-based electronic signature platform that allows users to create, send, sign, and manage documents securely from any device. It supports HIPAA compliance through features like advanced encryption, tamper-proof audit trails, and a Business Associate Agreement (BAA), making it suitable for healthcare organizations handling protected health information. Integrated with the Zoho ecosystem and popular third-party apps, it streamlines workflows while ensuring regulatory adherence.
Pros
- Affordable pricing with a free tier for basic needs
- HIPAA compliance including BAA and robust security features
- Seamless integrations with Zoho apps and CRM tools
Cons
- Limited advanced automation compared to enterprise leaders like DocuSign
- Fewer non-Zoho third-party integrations
- Customer support response times can vary for non-enterprise users
Best For
Small to mid-sized healthcare practices seeking cost-effective, Zoho-integrated HIPAA-compliant e-signatures.
Pricing
Free plan (5 documents/month); paid plans start at $10/user/month (Standard), up to $24/user/month (Enterprise, billed annually).
Formstack Sign
specializedProvides HIPAA-compliant signatures alongside form building for streamlined healthcare data collection.
Native integration with Formstack Forms for automated form-to-signature workflows
Formstack Sign is a secure electronic signature platform that enables users to create, send, and manage legally binding signatures on documents with robust compliance features. It is fully HIPAA compliant, offering a Business Associate Agreement (BAA) for healthcare organizations handling protected health information (PHI). The software integrates seamlessly with Formstack Forms, allowing for automated workflows from data collection to signing and beyond.
Pros
- HIPAA compliant with BAA, audit trails, and encryption for PHI security
- Seamless integration with Formstack Forms for end-to-end workflows
- User-friendly interface with mobile signing and template customization
Cons
- Higher pricing may not suit small teams or basic needs
- Optimal value requires use within the Formstack ecosystem
- Fewer advanced API integrations compared to top competitors like DocuSign
Best For
Mid-sized healthcare providers and organizations needing HIPAA-compliant e-signatures integrated with form automation.
Pricing
Starts at $59/user/month (Essentials, billed annually); Pro at $99/user/month; HIPAA compliance included in all paid plans with BAA.
Jotform Sign
specializedOffers user-friendly HIPAA-compliant e-signatures embedded in customizable forms for healthcare consent processes.
Dynamic form integration allowing conditional logic and embedded fields for interactive, PHI-secure signing workflows
Jotform Sign is an electronic signature tool embedded within the Jotform form-building platform, enabling users to create, send, and collect legally binding signatures on documents and forms. It offers HIPAA compliance via a Business Associate Agreement (BAA) on Enterprise plans, with features like encrypted storage and audit trails for handling protected health information (PHI). While versatile for general workflows, it shines in scenarios combining data collection forms with e-signatures, though it lacks some advanced enterprise-grade security of dedicated e-signature platforms.
Pros
- Intuitive drag-and-drop interface for quick setup
- Seamless integration with Jotform's form builder and 100+ apps
- HIPAA-compliant with BAA, encryption, and audit logs on Enterprise plans
Cons
- HIPAA compliance restricted to expensive Enterprise tier only
- Limited advanced features like bulk sending or complex signer routing compared to specialists
- E-signature volume limits on lower plans may not suit high-volume users
Best For
Small to mid-sized healthcare practices or clinics already using Jotform that need simple, integrated form-based e-signatures for consents and intakes.
Pricing
Starts at $39/month (billed annually) for Starter plan with limited e-signatures; HIPAA compliance on custom-priced Enterprise plans starting around $500+/month.
Conclusion
The reviewed tools deliver secure, HIPAA-compliant solutions tailored to healthcare needs, with DocuSign leading as the top choice—renowned for robust security, legal binding signatures, and comprehensive audit trails. Adobe Acrobat Sign impresses with enterprise-grade features and seamless integrations, while OneSpan Sign stands out for its specialized Business Associate Agreements, offering strong alternatives for varied requirements.
For streamlined, secure electronic signing in healthcare, DocuSign’s reliability makes it a standout—start exploring its tools to enhance workflow efficiency and compliance today.
Tools Reviewed
All tools were independently evaluated for this comparison
