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HIPAA-Compliant VoIP: A 12-Point Checklist for Healthcare Practices

What clinics, dental offices and telehealth providers should verify before choosing a phone system.

360360Comm Editorial Team Β· Updated Sep 30, 2026 Β· 7 min read

Phone systems in healthcare handle protected health information (PHI) in voicemails, recordings, texts and call logs. A provider marketing itself as "HIPAA-ready" is not enough β€” you must verify.

The checklist

  1. Provider will sign a Business Associate Agreement (BAA).
  2. Encryption in transit (TLS/SRTP) for calls and messages.
  3. Encryption at rest for voicemail, recordings and transcripts.
  4. Role-based admin access and multi-factor authentication.
  5. Audit logs for access to recordings and voicemail.
  6. Configurable retention and deletion policies.
  7. Secure texting or the ability to disable SMS for PHI.
  8. Fax-to-email with encryption if you still fax.
  9. Data-center security attestations (e.g., SOC 2 reports).
  10. Documented breach notification process.
  11. After-hours routing to on-call staff with privacy controls.
  12. Staff training on what not to leave in voicemail or SMS.
Practices typically also want appointment-reminder texts, EHR integration and after-hours answering. Request healthcare-ready quotes β†’

General information only; consult your compliance officer or counsel for your specific obligations.


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