HIPAA fax for pediatric practices

A pediatric practice of 5 people and 500 pages a month pays $9.99 a month, or $119.88 a year, for HIPAA fax on Fax Pigeon Standard, with a business associate agreement (BAA) signed at signup. SRFax, eFax and iFax charge $13.65, $33.33 and $93.29 a month for their cheapest BAA plan at that volume, billed annually.

What do pediatric practices fax, and to whom?

Pediatric practices fax immunization records to schools and camps, referrals to specialists, and records to the parents and other practices that request them.

Schools and camps ask for proof of vaccines before a child enrolls, and the immunization record is the answer. Whether a school can take that record by fax is covered in can you fax immunization records to a school.

A referral goes to a specialist with the pages that office needs to see the child. Parents and other practices make the records requests, and a request that lands in the shared inbox can be assigned to a staff member. Responding to a medical records request by fax walks through the steps.

Snap a paper school form with a phone and send the photo itself; Word, Excel, PowerPoint and PDF files go out the same way. Staff can start from the browser or from an email, and the cover sheet can be skipped.

What HIPAA rules apply to a pediatric practice's faxes?

Four HIPAA points shape a pediatric practice's faxes: the fax vendor's BAA, a parent's access to a child's records, proof of immunization for schools, and misdirected faxes.

No record should pass through a fax service before a BAA is in place. Fax Pigeon signs one at signup on every plan. On the competitor side, eFax prints its BAA on the Business plan card and none comes with Personal, iFax offers a free BAA on Plus and Pro and none on Basic, and SRFax provides one on request from its Healthcare plans without publishing a BAA price.

Because a parent usually acts for a child who is not emancipated, a parent can ask for that child's records. Care a minor consented to, such as some mental health and reproductive health services, falls under state law, so staff check state law before releasing those records to a parent.

Proof of immunization may go to a school if state or other law requires the school to hold it and a parent or guardian agrees. The practice documents that agreement in the chart, and the fax holds the immunization record alone.

HIPAA lets a practice send a referral to a specialist, or answer another practice's request for treatment records, with no patient authorization. The pages sent are the ones the request names.

A misdirected fax is a possible breach, so staff confirm each recipient's number before anything is sent. HIPAA accepts fax when the practice keeps reasonable safeguards, and each delivered Fax Pigeon fax carries delivery proof.

How much does HIPAA fax cost for a pediatric practice?

A pediatric practice with 5 people pays $9.99 a month for HIPAA fax at 500 pages and $16.99 a month at 1,000 pages on Fax Pigeon, billed annually, which is $119.88 and $203.88 a year. Month to month, the same two plans cost $11.99 and $17.99. Sent and received pages both count toward the total, and an extra page costs 5¢ on Standard and 4¢ on Plus.

The table shows the cheapest plan with a BAA for 5 people, as a price a month, at 500 and 1,000 pages sent and received.

On annual billing at 500 pages for 5 people, SRFax costs $43.92 a year more than Fax Pigeon, eFax $280.08 more and iFax $999.60 more. Without an annual commitment, the same year runs $143.88 on Fax Pigeon, $192.60 on SRFax, $479.88 on eFax and $1,343.40 on iFax.

The iFax row shows $93.29 at both volumes, because once a team adds two or more licenses, iFax stops offering Plus and prices the team on Pro. Past the pages in a plan, eFax Business charges 7 cents a page. iFax prints no such rate, and its Terms of Use add credits automatically at 95% of the plan limit, billed to the payment method.

The table shows the cheapest plan with a BAA for 10 people, as a price a month, at 500 and 1,000 pages sent and received.

For 10 people at 500 pages on annual billing, the yearly gap to Fax Pigeon is $780.12 on eFax and $1,809.36 on iFax. SRFax shows $13.65 a month for 5 or 10 people, and it gives multiple user accounts with every Healthcare plan.

At 1,000 pages for 10 people, the yearly gap is $150.12 on SRFax, $946.08 on eFax and $1,725.36 on iFax. A practice that outgrows Plus moves to Pro at $29.99 a month on annual billing, which covers 2,000 pages.

Can every person on a pediatric team use one fax number?

Yes, a pediatric team of any size can use one Fax Pigeon number, because every plan allows unlimited people and a shared inbox offering roles and assignment.

A nurse, a biller and a front-desk worker each get a role in that inbox, and the practice keeps one number for referrals, school forms and records requests alike.

eFax and iFax add a charge per person as a team grows. On eFax Business, 5 users are included, and every user after that adds $100 a year on an annual plan, or $10 a month otherwise. iFax covers a single user license and prices added team licenses at $17.99 a user a month at 5 users and $16.99 at 10, and annual billing lowers those to $14.99 and $14.16.

Who should switch from SRFax, eFax or iFax?

A pediatric practice paying for eFax Business, or for iFax Pro with team licenses, should switch to Fax Pigeon, because on annual billing those plans run $23.34 to $150.78 a month above Fax Pigeon Standard at 500 pages. A practice on SRFax pays $3.66 a month more at 500 pages and $12.51 more at 1,000 pages.

Fax Pigeon ports an existing number at no charge on every plan. Porting a local number into SRFax costs $25 one time, and eFax's Customer Agreement lists $40 per number to port in.

The same comparison for any small practice is in HIPAA fax for small medical practices.

* 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.