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Choosing a fax service for a Canadian clinic

Fax is still a core part of how Canadian clinics work. Referrals, lab requisitions, specialist consult notes, pharmacy renewals and insurer forms move by fax every day. Many clinics are replacing their fax machines with online fax so staff can send and receive from any computer, but not every service is built with health information in mind. This faxservices.ca guide sets out the questions a family practice, physiotherapy clinic, dental office or allied health centre should ask before choosing, and shows how FaxToFax.com answers them.

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Start with privacy law

The rules for personal health information depend on your province. Ontario clinics are health information custodians under PHIPA. Other provinces have their own health privacy laws, such as Alberta's Health Information Act, and PIPEDA can apply to some private-sector organisations. Whatever applies to you, the core expectation is the same: take reasonable steps to protect health information from unauthorised access, use or disclosure.

Ask any provider which laws its safeguards are built for. FaxToFax is built with safeguards for PHIPA and PIPEDA, among others. If you practise outside Ontario, check your provincial legislation and your regulatory college's guidance, and confirm the service supports what they require.

Questions to ask any fax provider

  • Are documents encrypted both in transit and at rest?
  • Are received faxes kept in a secure inbox, or sent to staff by email?
  • Can I give staff different levels of access, such as view-only for some?
  • Is there an audit log of who viewed, downloaded or sent each fax, and can I export it?
  • Can I set how long faxes are kept and have them purged automatically?
  • How are numbers confirmed before sending, to reduce misdirected faxes?
  • Can I keep my existing fax number, and if not, what's the transition plan?

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How FaxToFax answers them

Documents are encrypted in transit with TLS 1.2 or higher and at rest. Incoming faxes go to a private encrypted browser inbox and are never emailed, which keeps health information out of staff mailboxes. Team roles are owner, admin, member and viewer, so a receptionist can send and receive while a locum might only view. The Business plan adds a shared inbox so the whole front desk sees incoming referrals in one place.

Every view, download and send is recorded in an append-only audit log that you can export as CSV, which is useful for privacy audits. Retention controls let you purge faxes automatically after a set period, in line with your records policy once the fax has been saved to your EMR. Before every fax, each recipient number must be confirmed, and staff are signed out after a period of inactivity: the owner can choose 15, 30 or 60 minutes.

One honest limitation: porting your existing clinic fax number isn't available yet. You'd choose a new local or toll-free Canadian number and let referral partners know.

Cost and capacity

Most clinics will want the Business plan. It's $14.99 for the first month, then $39.99 a month, and includes 500 pages a month across sent and received faxes, $0.07 per page beyond that, and five users, with more at $10 a month each. Additional fax numbers, for example a separate line for a physiotherapy department, are $5 for the first month then $10 a month. Annual billing saves about 17%.

To estimate your page use, count a typical week of incoming referrals and outgoing requisitions and multiply by four. Busy multi-physician clinics may need an Enterprise arrangement, which is priced to suit. For a step-by-step switchover plan, see the guide to replacing an office fax machine on faxservices.ca.

FAQ

Choosing a Fax Service for a Canadian Clinic: questions

Does FaxToFax integrate with our EMR?

No. FaxToFax doesn't offer EMR integrations or an API. Staff download faxes from the browser inbox and file them in your EMR as they would from any other source.

Can we keep our current clinic fax number?

Not yet. Number porting isn't available, so you'd choose a new Canadian local or toll-free number.

Can different staff have different access?

Yes. Roles are owner, admin, member and viewer, and the Business plan includes a shared inbox.

Is FaxToFax only for Ontario clinics?

No. It's built with safeguards for PHIPA and PIPEDA and works anywhere in Canada. Clinics in other provinces should confirm it meets their provincial health privacy requirements.

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