Email is where most privacy mistakes happen. Whichever provider you choose, HIPAA expects a business associate agreement (BAA) with any vendor that handles client information for you. Here is how four common options compare. Read the vendor's current terms before you sign up, and see HHS guidance on business associate agreements.
A service built for healthcare practices. Hushmail says it offers encrypted email, secure forms and a signed BAA for healthcare providers, and that its email can run on its own or alongside an EHR.
Paubox describes itself as HIPAA compliant email, security and forms, and lists encryption that works with Google and Microsoft email. Check its BAA page for the terms before you sign up.
Google lets an administrator accept a business associate amendment in the Admin console. Only services on Google's HIPAA Included Functionality list are covered, and third-party apps and add-ons are not.
Microsoft says it offers a BAA to covered entities through its Online Services Data Protection Addendum, covering in-scope services such as Exchange Online. It also states that a BAA alone does not make you compliant.
Is Gmail HIPAA compliant for therapists?
Not by default. Google says customers without a signed BAA must not use protected health information in its services. With Google Workspace, an administrator accepts Google's business associate amendment, and only the services Google lists are covered. See Google's HIPAA guide.
Do I need a BAA for my email provider?
If the provider stores or transmits client information for you, HIPAA generally expects a business associate agreement. Read HHS guidance on BAAs and ask your vendor for theirs. This is general information, not legal advice.
Does a BAA make me HIPAA compliant?
No. Microsoft states it plainly: a BAA supports your compliance, but your practice still needs its own policies and safeguards.
What makes a HIPAA compliant contact form for a therapist website?
A HIPAA compliant contact form protects what a visitor types while it travels and while it is stored. In practice that generally means the page loads over HTTPS, the submission is encrypted in transit instead of arriving as plain email, entries are kept somewhere secure, and any vendor that handles them signs a BAA. The HHS Security Rule asks for safeguards on information that is transmitted and stored. HiveSourced builds forms that route inquiries through encrypted channels, and we help you connect a HIPAA-compliant email system. Your practice remains responsible for its own intake and storage.
Is encrypted email enough to make email HIPAA compliant for a therapist?
Encryption is one safeguard, not the whole answer. The HHS Security Rule asks covered entities to protect electronic health information in transit and at rest, and a risk analysis decides how. In practice that generally means encrypted email or a secure portal, plus a signed BAA with the email provider, plus your own habits (what you put in a message, who can see the inbox). The email tools compared above each handle the encryption and BAA side differently, so check the current plan before you rely on it. If you want a website contact form that routes inquiries into that setup, tell us about your practice.
Which HIPAA email service should a therapist choose?
It depends on your size, budget and tools. Hushmail suits practices that want an all-in-one service. Paubox, Google Workspace or Microsoft 365 with a signed BAA suit practices that already use those tools. Compare the terms above and ask each vendor for its BAA.
Can HiveSourced set up my HIPAA forms and email?
Yes. Every website build includes a HIPAA-compliant contact form and help connecting a HIPAA-compliant email system. See our pricing or get in touch.
Ask us anything about HIPAA-compliant forms and email for your practice. We'll reply by email, with no sales pitch.