Zignature signs patient consent forms, HIPAA authorizations, and clinical documents securely — with a Business Associate Agreement (BAA) included on all paid plans.
Free plan available · No credit card required · ESIGN Act compliant
Every Zignature feature is designed to meet HIPAA, state privacy law, and Joint Commission documentation standards.
Every Zignature paid plan includes a signed Business Associate Agreement (BAA) — the formal HIPAA contract that makes Zignature a covered business associate for your PHI. Signing patient documents through Zignature is fully permissible under HIPAA when using a paid plan. No separate legal negotiation required.
Consent forms, HIPAA authorizations, treatment agreements, release of information forms, advance directives, and financial agreements — Zignature handles every document your patients need to sign. AI field detection places signature and initial blocks automatically, reducing setup time from hours to minutes.
Zignature connects to your existing systems via REST API, Zapier, or direct integration. Automatically trigger consent form requests when new patients are scheduled. Write back signed status to your EHR. Store completed documents in your practice management system automatically — without manual uploading.
Zignature handles clinical, administrative, and research documentation workflows.
Collect informed consent before procedures. Patients sign from any device — at home before their appointment or on a tablet in the waiting room.
PHI release authorizations that satisfy 45 CFR §164.508 requirements, with required-field enforcement and auto-expiry.
Financial agreements, payment plans, and out-of-pocket cost acknowledgments signed before treatment begins.
Employee onboarding, BAAs with vendors, HIPAA workforce training acknowledgments — all in one platform.
Telehealth-specific consent forms with jurisdiction disclosures, signed before every remote visit.
Informed consent for research with 21 CFR Part 11 compliant electronic signatures for regulated studies.
No training required. Send your first document today.
Pick from pre-built compliant templates or upload your own document — our system applies the right compliance rules automatically.
Enable HIPAA BAA, GDPR DPA, identity verification, or QES as required for your regulatory environment.
Recipients get a secure link and are guided through the signing process with all required disclosures and consent flows.
Every transaction is sealed with a tamper-proof certificate of completion — ready for audits, regulators, and legal proceedings.
HIPAA doesn't ban electronic signatures — it requires that any vendor handling Protected Health Information (PHI) sign a Business Associate Agreement (BAA) and implement appropriate administrative, physical, and technical safeguards. Zignature meets all three categories.
Administrative safeguards: Zignature maintains a formal security program, employee training, and incident response procedures documented in our HIPAA Security Rule policies.
Physical safeguards: All infrastructure runs in SOC 2 Type II certified data centers with 24/7 physical access controls, surveillance, and environmental monitoring.
Technical safeguards: 256-bit AES encryption at rest, TLS 1.3 in transit, role-based access controls, session timeouts, and comprehensive audit logs that record every access to PHI-containing documents.
Under the HIPAA minimum necessary standard (45 CFR §164.502(b)), covered entities must limit PHI access to what's needed for a specific purpose. Zignature's role-based access controls and field-level permissions let you ensure signers see only the information required to complete their specific signature — no more.
For consent forms with sensitive PHI (mental health, substance use, HIV status), Zignature supports enhanced confidentiality settings that restrict sharing and prevent accidental disclosure.
HIPAA-compliant e-signatures with BAA included. Trusted by healthcare organizations nationwide.
Everything you need to know.
Yes. Zignature is HIPAA compliant and provides a signed Business Associate Agreement (BAA) on all paid plans. The platform uses 256-bit AES encryption, comprehensive audit logs, and role-based access controls that satisfy HIPAA Security Rule requirements for electronic PHI.
Yes. All paid Zignature plans include a standard BAA that covers PHI processed through the platform. Enterprise customers can request a custom-negotiated BAA. The BAA is available for download from your account settings after upgrading to a paid plan.
Yes. Patients receive a signing link via email or SMS and can sign from any smartphone, tablet, or computer without creating an account. The mobile signing experience is optimized for touchscreen use, including drawing a signature with a finger.
Yes. Zignature supports 21 CFR Part 11 compliant electronic signatures including unique user authentication, closed and open system controls, complete audit trails, and electronic records that meet FDA requirements for regulated clinical trial documentation.
Zignature stores documents indefinitely by default. Healthcare organizations typically configure a 6-year retention policy to meet HIPAA's minimum medical records retention requirement (45 CFR §164.530(j)). Enterprise plans support automated retention schedules and legal hold capabilities.
Zignature connects to any EHR or practice management system via REST API, FHIR-compatible webhooks, or Zapier. Native connectors for Epic and Cerner are available for enterprise customers. The API supports automated patient document sending triggered by appointment scheduling or registration events.
When a document is deleted, all associated PHI is removed from active storage and flagged for secure deletion in accordance with NIST SP 800-88 guidelines. Zignature's data deletion policy is documented in the BAA and available on request.
Yes. Zignature integrates with Stripe Identity for government ID verification and liveness check — useful for advance directives, high-value treatment authorizations, and any document requiring identity assurance beyond standard email authentication.