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HIPAA Compliant Texting: Secure SMS Messaging for Healthcare

Text patients securely, from $0.02 per 160-character message with carrier fees included. Send appointment reminders, 2-way messages and broadcasts. 

✅ Free BAA in 3 Business Days
✅ Pay as You Go Sending
✅ No Lock-In Contract
✅ Free Incoming Texts
✅ Encryption, MFA and Logs
✅ API for EHR Integration
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Excellent rating.svg 4.7/5
Customer Service Rating (1187 Reviews)
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REAL HUMAN SUPPORT

HIPAA compliant texting customer story

Roots Through Recovery needed a new HIPAA compliant texting service before their previous SMS provider shut down its services. Notifyre guided them through 10DLC registration, signed a BAA, and got them live in time.
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TRUSTED HEALTHCARE PROVIDER

HIPAA compliant text messaging service

HIPAA compliant texting is the exchange of patient information by SMS with the safeguards the HIPAA Security Rule requires: encryption, access controls, audit trails, and a signed Business Associate Agreement (BAA). Notifyre provides all four, with AES 256-bit encryption, role-based access, and a free BAA.

Secure text messaging for healthcare

global security for Notifyre's fax and sms services
Notifyre encrypts messages with AES 256-bit encryption at rest and TLS 1.2 in transit, restricts who can view conversations with role-based access controls and multi-factor authentication, and records a complete audit trail of every message sent and received.

Free Business Associate Agreement

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A signed BAA lets medical practices, hospitals, pharmacies, and telehealth providers text patients securely, without adding new apps for patients to download: patients simply reply by SMS.

Carrier compliant SMS delivery

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Notifyre's text messaging service is compliant with U.S. privacy laws and designed to meet mobile carrier requirements, including A2P 10DLC registration. Our local expert team is available via live chat, phone, and email to help you set up and meet compliance requirements.

Trusted by healthcare organizations across the United States

Compare Notifyre to other HIPAA compliant texting services

 NotifyreTigerConnectOhMDSpruce Health
BAAFree for every customer. Signed in 3 business days. Available on request; terms not published on their siteAutomatic BAA for every user on all plans, "no separate contract to negotiate"Included automatically with all trials and paid plans
EncryptionAES 256-bit at rest, TLS 1.2 in transitTLS (128/256-bit) in transit, AES at rest; HITRUST CSF certified platformAES-256 at rest, TLS in transit; HITRUST assessedCipher details not published; SOC 2 Type II audited annually with HIPAA-specific controls
Patients reply by normal SMSYes, no app required. Receiving incoming texts is freeNo. Patients tap an SMS link into a secure browser conversation (no app download)Partly. Routine messages send as standard SMS; anything with PHI arrives as a secure browser link (no app)Yes, standard SMS supported; Spruce recommends its secure in-app messaging for sensitive content
Pricing modelPay as you go, no subscription requiredCustom quote onlyFrom $300/month (Core plan); $500/month with AI featuresFrom $24/user/month (Basic), $49/user/month (Communicator), plus a one-time $19.50 SMS registration fee
Best forPractices that want compliance included and costs that scale with useLarge hospital care teamsHigh volume patient messaging with EHR workflowsReplacing the whole practice phone system

Comparison based on information published on each provider's website. Last checked August 2026.

Secure texting for healthcare

For regulated organizations, Notifyre offers a free Business Associate Agreement (BAA), Service Level Agreement (SLA), and security questionnaires on request, helping you validate compliance, risk management, and complete vendor due diligence.
HIPAA COMPLIANT TEXTING PLATFORM

Send HIPAA compliant texts online

Notifyre’s online SMS platform is designed with usability in mind, giving healthcare teams a clear, intuitive dashboard to send and receive messages without technical complexity. From a single interface, authorized users can manage conversations, send messages, and respond efficiently.
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TEXT MESSAGE API

HIPAA compliant SMS API

Integrate text messaging with your EHR system to enable secure, automated patient communication directly from your healthcare software. Whether it’s sending appointment reminders, test results, or updates, Notifyre's text messaging API streamlines workflows while supporting HIPAA compliance.
Notifyre API to SMS notification on mobile phone
EMAIL TO TEXT

HIPAA email to text service

Notifyre’s email to text service lets healthcare teams send secure text messages directly from their existing email inbox, without new software or complex setup.
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5.0
StarStarStarStarStar
Easy and Reliable
The platform is incredibly straightforward to use, and sending faxes or messages from my computer is completely painless. Delivery is fast and reliable every single time, with instant confirmation receipts that give me total peace of mind. On top of that, their customer service team is quick, friendly, and genuinely helpful whenever you have a quick question or more complex issue.
Amanda R
PMHNP-BC
SourceForge logo
30 September 2026
SourceForge
5.0
StarStarStarStarStar
Easy Setup Process
It was a simple and painless exercise to port a fax number across. Use has been easy with emails coming to our inbox, and sending has been simple when required.
Eddie R
Pharmacist Proprietor
SourceForge logo
24 September 2026
SourceForge
5.0
StarStarStarStarStar
Fast Service
I appreciate how easy it is to get a healthcare BAA so we can keep everything hipaa protected. AI tools got us very far, but we did have one hiccup that needed customer service. So easy to get hold of them.
Greg B
CMO
SourceForge logo
27 August 2026
SourceForge
5.0
StarStarStarStarStar
Highly Recommended
Did exactly as I needed it to, when I needed it to. Reliable and also affordable. Would highly recommend!
Notifyre User
Psychologist
SourceForge logo
23 September 2026
SourceForge
5.0
StarStarStarStarStar
Quick and Easy
Because I needed HIPAA compliance, I found Notifyre had good reviews. The agent I talked to answered all my questions and sent me all the documents I needed for the compliance. From start to finish, they were able to help me answer questions, send necessary documents, and send my first fax within 30 minutes. I like that I am not tied to a contract and have the flexibility to adjust as needed.
Notifyre User
Lead Med Tech
SourceForge logo
30 July 2026
SourceForge
5.0
StarStarStarStarStar
Great Customer Service
Ryan went above and beyond as he completed our BAA even given a tight timeframe. He was very accommodating and helped us with setting up our account and answered all our questions during the demo with clear and helpful answers. Great customer service! The interface is very intuitive. I was able to send a fax first try.
Notifyre User
Office Manager
SourceForge logo
02 July 2026
SourceForge
5.0
StarStarStarStarStar
Stellar Support
After speaking with Bettina at Notifyre, I will be signing up for their HIPAA compliant efax service. Very helpful, very kind customer/sales support representative. It is rare to get stellar support without high pressure tactics, and they exceeded my expectations.
Rebecca G
Notifyre User
08 March 2024
Trustpilot
5.0
StarStarStarStarStar
Simple Registration Process
The Notifyre folks made it simple to go through the 10DLC registration process so we could start sending SMS messages to our patients. They provided the personal service that was lacking from other services we had explored, and that made all the difference. We really like being able to both send SMS and receive responses from our patients. The price is so reasonable that cost isn’t even a consideration for us!
Joel W
Notifyre User
Google logo
30 August 2024
Google
5.0
StarStarStarStarStar
Easy to Use
Super easy to use. awesome graphic on website. very supportive team via online chatting, email and phone call as well.
Bokwan K
Physical Therapist
SourceForge logo
08 July 2024
SourceForge
5.0
StarStarStarStarStar
Easy and Reliable
The platform is incredibly straightforward to use, and sending faxes or messages from my computer is completely painless. Delivery is fast and reliable every single time, with instant confirmation receipts that give me total peace of mind. On top of that, their customer service team is quick, friendly, and genuinely helpful whenever you have a quick question or more complex issue.
Amanda R
PMHNP-BC
SourceForge logo
30 September 2026
SourceForge
5.0
StarStarStarStarStar
Easy Setup Process
It was a simple and painless exercise to port a fax number across. Use has been easy with emails coming to our inbox, and sending has been simple when required.
Eddie R
Pharmacist Proprietor
SourceForge logo
24 September 2026
SourceForge
5.0
StarStarStarStarStar
Fast Service
I appreciate how easy it is to get a healthcare BAA so we can keep everything hipaa protected. AI tools got us very far, but we did have one hiccup that needed customer service. So easy to get hold of them.
Greg B
CMO
SourceForge logo
27 August 2026
SourceForge
5.0
StarStarStarStarStar
Highly Recommended
Did exactly as I needed it to, when I needed it to. Reliable and also affordable. Would highly recommend!
Notifyre User
Psychologist
SourceForge logo
23 September 2026
SourceForge
5.0
StarStarStarStarStar
Quick and Easy
Because I needed HIPAA compliance, I found Notifyre had good reviews. The agent I talked to answered all my questions and sent me all the documents I needed for the compliance. From start to finish, they were able to help me answer questions, send necessary documents, and send my first fax within 30 minutes. I like that I am not tied to a contract and have the flexibility to adjust as needed.
Notifyre User
Lead Med Tech
SourceForge logo
30 July 2026
SourceForge
5.0
StarStarStarStarStar
Great Customer Service
Ryan went above and beyond as he completed our BAA even given a tight timeframe. He was very accommodating and helped us with setting up our account and answered all our questions during the demo with clear and helpful answers. Great customer service! The interface is very intuitive. I was able to send a fax first try.
Notifyre User
Office Manager
SourceForge logo
02 July 2026
SourceForge
5.0
StarStarStarStarStar
Stellar Support
After speaking with Bettina at Notifyre, I will be signing up for their HIPAA compliant efax service. Very helpful, very kind customer/sales support representative. It is rare to get stellar support without high pressure tactics, and they exceeded my expectations.
Rebecca G
Notifyre User
08 March 2024
Trustpilot
5.0
StarStarStarStarStar
Simple Registration Process
The Notifyre folks made it simple to go through the 10DLC registration process so we could start sending SMS messages to our patients. They provided the personal service that was lacking from other services we had explored, and that made all the difference. We really like being able to both send SMS and receive responses from our patients. The price is so reasonable that cost isn’t even a consideration for us!
Joel W
Notifyre User
Google logo
30 August 2024
Google
5.0
StarStarStarStarStar
Easy to Use
Super easy to use. awesome graphic on website. very supportive team via online chatting, email and phone call as well.
Bokwan K
Physical Therapist
SourceForge logo
08 July 2024
SourceForge
SMS TEMPLATES FOR HEALTHCARE

Medical messaging use cases

Test & exam result notifications Medication reminders Health check‑ups Prescription renewal reminders Follow‑up appointment reminders

Notifyre provides the highest standards of customer service & support

Contact us today to discuss your specific requirements, request completion of your security questionnaire or a signed BAA to ensure full compliance.

ESSENTIAL SMS & MMS FEATURES

Business-ready online text messaging features

Mass text messaging

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Send text message broadcasts with high deliverability. Schedule SMS & MMS, upload contacts in bulk, and personalize texts using templates, merge fields, emojis, or Unicode.

MMS messaging

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Send images alongside your texts to make patient communication clearer. Share clinic maps and parking directions before a first visit, pre-appointment instructions such as fasting or what to bring, and visual reminders for check-ups, vaccinations or screenings.
Contact management
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Easily import your contact lists and organize them into groups. Stay compliant with built in and automated opt-out features. Give customers the choice to unsubscribe via text reply or secure opt-out links.
2-way SMS inbox
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Engage in real-time conversations with your customers by sending and receiving SMS directly in Notifyre’s secure online SMS inbox.
Virtual SMS numbers
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Bring your existing phone number to Notifyre or order a dedicated virtual SMS numbers for 2-way business text messaging.
Campaign delivery reporting
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Track your online SMS & MMS campaigns with real-time delivery reports to measure success and optimize SMS broadcasts.
Team & user permissions
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Invite users and assign permission levels to control who can send, manage, or view SMS & MMS activity within your account.
Secure & reliable SMS
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Notifyre guarantees 99.99% uptime, fast delivery, and enterprise grade security with multiple layers of data protection and advanced infrastructure.
SMS activity audit trails
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Maintain compliance with detailed logs of every text message or MMS message, including delivery status and replies.
See all SMS & MMS features

HIPAA compliant texting requirements

Use our guides to understand HIPAA text consent requirements and find out how to select the best HIPAA compliant texting app for your medical practice.

Top 5 HIPAA Compliant Texting Apps For Healthcare in 2026
Man in front of his computers Read Blog
Guide To Creating a HIPAA Text Messaging Consent Form
acma-sms-sender-id-registration-update.webp Read Guide
Guide to HIPAA Covered Entities: Who Must Follow HIPAA Rules?
HIPAA-covered-entities-fax-services.png Read Guide

Is texting HIPAA compliant? 

Texting is not inherently HIPAA compliant. However, by choosing a SMS service provider that is HIPAA compliant, the necessary administrative, physical, and technical safeguards are implemented to protect message content that may contain PHI.  

Notifyre is HIPAA compliant and ISO 27001 certified and through SMS features made available, organizations can ensure text messages sent and received are transacted securely.

HIPAA compliant texting platform FAQs

Is Notifyre's SMS service HIPAA compliant?

What is HIPAA compliant SMS?

What measures are in place to ensure data encryption?

Does Notifyre provide a Business Associate Agreement (BAA) for HIPAA?

Does Notifyre have access controls and authentication methods to meet HIPAA?

Can medical providers use text message marketing?

Who needs to use HIPAA compliant text messaging?

Are iMessage, WhatsApp or regular SMS HIPAA compliant?

Is it a HIPAA violation to text a patient's name?

Are text appointment reminders HIPAA compliant?

What makes a texting service HIPAA compliant?

Excellent rating.svg 4.7/5
Customer Service Rating (1187 Reviews)
google-White.svg2026-sourceforge-summer.svgslashdot-top-performer-winter-2026.svgmost-loved-software.svgbbb-white.svgbaa-sla-white.svghipaa-white.svgISO-white.svguptime-white.svg