What is fax forwarding?

Fax forwarding sends each incoming fax on to another place, such as an email inbox. Each forwarded copy carries patient information, so a vendor that holds one needs a BAA.

An old desktop fax machine with a handset and a coiled cord on a white desk

Fax forwarding sends each incoming fax on to another place, such as an email inbox. A practice that gets its incoming faxes in an email inbox is using fax forwarding.

How does fax forwarding work?

Fax forwarding sends a copy of each fax that arrives at the practice's number to a chosen destination. The practice sets the destination once, and each new fax goes there without anyone checking a machine.

The fax number stays where it is, so senders keep using the number they already have. The forwarded copy travels on, and the fax may also stay in the service's own inbox.

Fax Pigeon plans include your own number and a shared inbox with roles and assignment. Staff can assign each incoming fax to a named person in that inbox.

Does fax forwarding matter for HIPAA?

Fax forwarding matters for HIPAA because each forwarded copy moves protected health information to a new place. The destination then needs the same safeguards as the practice's other patient records.

An email account that receives patient faxes holds protected health information, so the practice needs a business associate agreement with that email provider.

For the email setup, see how to handle HIPAA faxes in Gmail or Outlook.

Which faxes should a practice forward?

A practice should forward a fax only when someone on staff must act on it that day, such as a referral, a records request or an insurance decision. Each forwarded copy adds one more place where patient information sits, so a short list of destinations keeps that risk small.

Is fax forwarding the same as call forwarding?

Fax forwarding and call forwarding are separate services. Fax forwarding moves documents to a chosen destination, while call forwarding moves voice calls from one number to another.

These are the terms that buyers mix up with fax forwarding:

  • Fax to email: a form of fax forwarding in which each incoming fax arrives as an email attachment.
  • Call forwarding: sends phone calls from one number to another, and it moves calls only.
  • Shared fax inbox: a place where a team sees each incoming fax and assigns it to a person. Fax Pigeon includes one on every plan.

To set up that shared place, see how to set up a shared fax inbox for a small office.

* Fax Pigeon prices and plan terms as of October 15, 2026.

Frequently asked questions

What is fax forwarding?
Fax forwarding is a service that sends each incoming fax on to another place, such as an email inbox, a second fax number or a shared inbox. The fax number stays the same, so senders keep using it. The copy travels to the destination the practice picks, and the destination is set once.
How does fax forwarding work?
Fax forwarding copies each fax that arrives at the practice's number and sends the copy to a chosen destination. The practice sets the destination once, and each new fax then goes there without anyone checking a machine. The fax number stays where it is, so senders keep using it.
Does fax forwarding matter for HIPAA?
Yes, fax forwarding matters for HIPAA because each forwarded copy moves protected health information to a new place. The destination needs the same safeguards as the practice's other records, and an email provider that holds patient faxes needs a business associate agreement. Forward only to places the practice controls.
Is fax forwarding the same as call forwarding?
Fax forwarding and call forwarding are separate services. Fax forwarding moves documents to a chosen destination, and call forwarding moves voice calls from one number to another. Setting up one leaves the other as it was. Fax forwarding is the right fit for a practice that wants faxes in an inbox, and call forwarding suits a practice that wants calls on a second phone.

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
Plans and pricing

Know a practice that still faxes? Refer it through the referral program and earn 20% of its plan, every month it stays.