HIPAA fax for dietitians
A dietitian working alone pays $59.88 a year on Fax Pigeon at 200 pages a month, BAA included; the same volume runs $128.40 on SRFax, $399.96 on eFax and $299.88 on iFax.

A dietitian practice of 1 person and 200 pages a month pays $4.99 a month on Fax Pigeon Basic, or $59.88 a year, which covers HIPAA fax and a signed business associate agreement (BAA). On annual billing, the same volume costs $10.70 a month on SRFax, $24.99 on iFax and $33.33 on eFax for the cheapest BAA plan.
What do dietitians fax, and to whom?
Dietitians receive referrals from physicians, send progress notes back to the referring provider, and send claims and prior authorizations for medical nutrition therapy to insurers.
A referral comes in from a physician, and the progress note goes back to that physician. Patients can also ask for their own records. Nutrition notes can carry lab values, weights and diagnoses, so each recipient gets only the pages that recipient needs.
A progress note written in Word can be sent as that Word file, and the same goes for PDFs, Excel and PowerPoint files and phone photos. The browser and email both work for sending, and a cover sheet is optional.
What HIPAA rules apply to a dietitian practice's faxes?
Four HIPAA points govern a dietitian practice's faxes: the BAA the fax service signs, referrals and progress notes that move for treatment, claims and prior authorizations that go to insurers, and misdirected faxes.
A BAA has to be in place before the fax service handles a patient's record, and a BAA is signed at signup on each Fax Pigeon plan. The BAA also decides which competitor plan counts: eFax Business has one and eFax Personal does not, iFax Plus and Pro have one and iFax Basic does not, and SRFax provides one on request.
The referral that arrives from a physician and the progress note that goes back are exchanges for treatment, so HIPAA asks for no patient authorization.
A claim or prior authorization for medical nutrition therapy is a disclosure for payment, which needs no patient authorization either. The minimum necessary rule applies, so each one holds the details the insurer needs and nothing beyond that.
When a patient asks for a copy of their own nutrition record, the right of access applies, and HIPAA sets the time the practice has to respond.
A wrong number on a progress note can send a patient's diagnosis to the wrong office, and that may be a breach, so staff confirm the number before sending. Each delivered Fax Pigeon fax gets delivery proof.
How much does HIPAA fax cost for a dietitian practice?
A 1-person dietitian practice pays $4.99 a month for HIPAA fax on Fax Pigeon Basic at 200 pages, or $9.99 a month on Standard at 500 pages, when billed annually. That is $59.88 and $119.88 a year, and $5.99 and $11.99 a month on month-to-month billing. Basic holds 200 pages sent plus received and charges 10¢ for each extra page, and Standard holds 500 and charges 5¢.
The table shows the cheapest plan with a BAA for one person, as a price a month, at 200 and 500 pages sent and received.
| Provider | 200 pages, billed annually | 200 pages, month to month | 500 pages, billed annually | 500 pages, month to month |
|---|---|---|---|---|
| Fax Pigeon | $4.99 (Basic) | $5.99 (Basic) | $9.99 (Standard) | $11.99 (Standard) |
| SRFax | $10.70 (Healthcare Lite) | $12.60 (Healthcare Lite) | $13.65 (Healthcare Basic) | $16.05 (Healthcare Basic) |
| iFax | $24.99 (Plus) | $29.99 (Plus) | $24.99 (Plus) | $29.99 (Plus) |
| eFax | $33.33 (Business) | $39.99 (Business) | $33.33 (Business) | $39.99 (Business) |
For 1 person at 200 pages on annual billing, the yearly gap to Fax Pigeon is $68.52 on SRFax, $240.00 on iFax and $340.08 on eFax. The iFax and eFax rows hold at $24.99 and $33.33 for both volumes, because the same plan covers 200 and 500 pages. Month to month, a year at 200 pages costs $71.88 on Fax Pigeon, $151.20 on SRFax, $359.88 on iFax and $479.88 on eFax.
A dietitian who goes past a plan's pages pays 7 cents a page on eFax Business. On iFax, which publishes no overage rate, the Terms of Use top up credits automatically once a plan is 95% used and charge the payment method.
The table shows the cheapest plan with a BAA for 2 people, as a price a month, at 200 and 500 pages sent and received.
| Provider | 200 pages, billed annually | 200 pages, month to month | 500 pages, billed annually | 500 pages, month to month |
|---|---|---|---|---|
| Fax Pigeon | $4.99 (Basic) | $5.99 (Basic) | $9.99 (Standard) | $11.99 (Standard) |
| SRFax | $10.70 (Healthcare Lite) | $12.60 (Healthcare Lite) | $13.65 (Healthcare Basic) | $16.05 (Healthcare Basic) |
| eFax | $33.33 (Business) | $39.99 (Business) | $33.33 (Business) | $39.99 (Business) |
| iFax | $49.99 (Pro + 1 team license) | $59.98 (Pro + 1 team license) | $49.99 (Pro + 1 team license) | $59.98 (Pro + 1 team license) |
A second person changes only the iFax row, which goes from $24.99 for 1 person to $49.99 for 2 people. iFax includes a single user license, so the second person is an added team license at $19.99 a month, or $16.66 on annual billing, and the 2-person row is priced on Pro.
On annual billing, the yearly gap to Fax Pigeon for 2 people on iFax is $540.00 at 200 pages and $480.00 at 500 pages. A practice that outgrows Standard moves to Plus at $16.99 a month on annual billing, which covers 1,000 pages.
Can a dietitian practice share one fax number across the team?
Yes, a dietitian and a second staff member can work from one Fax Pigeon number. Every plan comes with your own number, no cap on people and a shared inbox that has roles and assignment.
A second person joins the same number at no extra charge, and a faxed referral can be assigned to whichever of the two handles it.
For a private office, see HIPAA fax number for a private practice. Dietitians who see patients by video can read the fax number for a telehealth practice.
Who should switch from SRFax, eFax or iFax?
A dietitian practice paying for eFax Business or iFax should switch to Fax Pigeon, since on annual billing eFax costs $280.08 to $340.08 a year more at 1 or 2 people and iFax costs $180.00 to $540.00 more. A practice on SRFax pays $43.92 to $68.52 a year more.
Fax Pigeon ports an existing number for free, because free porting comes with every plan.
* Prices last verified October 12, 2026, at each provider's own site. iFax's Terms of Use were last verified October 19, 2026. Fax Pigeon is not affiliated with SRFax, eFax or iFax.
Frequently asked questions
- What is the best HIPAA fax service for dietitians?
- A dietitian practice pays least with Fax Pigeon at 200 or 500 pages a month once a BAA is required, compared with SRFax, eFax and iFax. One person at 200 pages pays $59.88 a year on Basic, and a second person adds nothing, because every Fax Pigeon plan has unlimited people. A BAA is signed at signup.
- How much does HIPAA fax cost for dietitians?
- Basic covers a dietitian practice's 200 pages for $4.99 a month on annual billing, and Standard covers 500 pages for $9.99. Month to month those plans are $5.99 and $11.99, and the yearly totals on annual billing are $59.88 and $119.88. SRFax, eFax and iFax cost more at both volumes.
- Do dietitians need a BAA with their fax service?
- Yes. A dietitian practice that sends patient referrals, notes or claims by fax needs a business associate agreement (BAA) in place with the fax service before the first record goes out. A BAA is signed at signup on each Fax Pigeon plan. iFax Plus and Pro, eFax Business and SRFax Healthcare plans offer one, while eFax Personal and iFax Basic do not.
- Can a dietitian share one fax number across the team?
- Yes, a dietitian and a second staff member can work from one Fax Pigeon number, since every plan has unlimited people and a shared inbox that has roles and assignment. On iFax, the second person is an added team license at $19.99 a month, or $16.66 on annual billing, because iFax includes a single user license.
- What do dietitians fax, and to whom?
- Dietitians receive referrals from physicians, send progress notes back to referring providers, and send claims and prior authorizations for medical nutrition therapy to insurers. A progress note written in Word or a phone photo goes out as it is from the browser or from email, and every delivered fax gets delivery proof.
Fax Pigeon
HIPAA-compliant fax with a signed BAA on every plan
Plans start at $4.99 a month, billed annually, for 200 pages, with your own number and unlimited people. Your first fax is free.
- Free porting of your local number
- Fax from your email
- AI summary of every inbound fax
- E-signatures
- Contact management
- Delivery proof
Know a practice that still faxes? Refer it through the referral program and earn 20% of its plan, every month it stays.