Fax to Healthcare Provider - HIPAA Secure Medical Fax

🏯 Send Secure Fax to Healthcare Provider

Send medical records, prescriptions, referrals, and patient documents to doctors, hospitals, and medical offices with HIPAA-compliant encryption.

Select Healthcare Provider Type:

Doctor's Office
Enter your doctor's fax number Hospital
Enter hospital medical records fax number Pharmacy
Enter pharmacy fax number for prescriptions Specialist
Enter specialist office fax number Lab/Imaging
Enter lab or imaging center fax number

🔒 HIPAA-Compliant Transmission:

All faxes are transmitted using encrypted connections to protect protected health information (PHI). Our service complies with HIPAA Security Rule requirements for electronic transmission of medical records.

📋 Required Information:

Patient full name and date of birth
Medical record number (if available)
Purpose of records request
Your relationship to patient or authorization
Signed authorization form (if not the patient)
Contact information for follow-up

Your Information

Your Name: *

Your Email: *

Your Phone: *

Healthcare Provider Information

Provider/Facility Name: *

Department/Specialty:

Provider Fax Number: * Verify fax number with the provider

Cover Page - Patient Information

Medical Information: * Include patient name, DOB, MRN, and purpose

Upload Medical Documents *

Select PDF files to fax: PDF only. Maximum 10MB per file, 5 files total.

Select Service Tier:

Premium ($3.29) - RECOMMENDED - HIPAA-compliant, priority, encrypted Free - Encrypted transmission

🏯 Common Medical Fax Uses

Medical Records Requests - Transfer patient history between providers
Prescription Refills - Send refill requests to pharmacy
Referrals - Send patient info to specialists
Lab Results - Share test results with healthcare team
Insurance Authorization - Submit pre-authorization requests
Imaging Orders - Send X-ray, MRI, CT scan orders
Discharge Summaries - Transfer hospital discharge info
Prior Authorization - Submit medication or procedure requests

🔐 Privacy & Security

Your privacy is protected:

✔️ Encrypted transmission (TLS/SSL)
✔️ HIPAA-compliant infrastructure
✔️ No permanent storage of PHI
✔️ Automatic secure deletion after transmission
✔️ Audit logs maintained for compliance

⚠️ Important Medical Fax Guidelines:

Always verify the fax number before sending
Confirm receipt with the provider's office
Include "CONFIDENTIAL" on cover page
For emergencies, call provider directly in addition to faxing
Keep authorization forms on file