Certinal

Certinal is a healthcare consent and compliance platform for capturing patient consent, collecting digital signatures, managing versions, and filing records to an EHR. Its healthcare workflows cover surgical, procedure-specific, clinical trial, general treatment, and data-processing consent. Patients can complete registration and consent before appointments through secure SMS or email links. The eSignature product supports sequential, parallel, and hybrid signing workflows, with templates, bulk sending, audit trails, SMS authentication, and configurable signature order. Certinal says it connects directly with Epic, Oracle Cerner, MEDITECH, and OpenEMR; other systems can connect through HL7 and FHIR APIs. Listed connectors also include Salesforce, SharePoint, Workday, SAP, Oracle, and Google. The API Enterprise plan includes REST API access, embedded signing, white-labeling, real-time reporting, and customized workflows. Certinal says healthcare data is encrypted at rest with AES-256 and in transit with TLS 1.2 or higher, and that healthcare customers receive a signed BAA. It is available on Android, iOS, web, and via API. Pricing is on request, and the eSign FAQ offers a two-week trial at no additional cost.

Certinal combines healthcare consent workflows with eSignature, EHR connections, and API options. Pricing requires a request, while the eSign FAQ lists a two-week trial at no additional cost.

Certinal suits enterprise health systems managing consent across multiple hospitals, departments, and regulatory geographies. It also offers eSignature and API products for organizations needing signing workflows or embedded signing.

Certinal brings patient consent, registration, and eSignature into healthcare workflows. It suits enterprise health systems coordinating consent across hospitals and departments. Its healthcare focus and EHR connections are compelling; custom pricing makes it harder to assess for organizations with tighter budgets.

Overview

Certinal captures, signs, version-controls, and files patient consent to the EHR. Its workflows cover surgical, procedure-specific, clinical-trial, general-treatment, and data-processing consent. Patients can complete registration and consent before an appointment through a secure SMS or email link, which makes it a stronger fit for digital intake than for occasional, standalone document signing.

Direct integrations include Epic, Oracle Cerner, MEDITECH, and OpenEMR. Other systems can connect through HL7 and FHIR APIs. Certinal also lists connectors for Salesforce, SharePoint, Workday, SAP, Oracle, and Google. This breadth is useful when consent needs to sit alongside existing clinical and business systems, though implementation requirements will shape the work involved.

Key features

Consent and signing workflows

Certinal eSignature supports sequential, parallel, and hybrid signing. Alongside an audit trail, document templates, bulk sending, SMS authentication, and both fixed and flexible signature order, these tools cover common organizational signing needs. For healthcare teams, the differentiator is the connection between those signing workflows and consent capture tied to the EHR.

Enterprise controls and API

The Consent and Compliance Enterprise plan combines clinical and data-processing consent with multi-channel capture, EMR-native integration, identity verification, and an audit trail; its plan description also includes support for 80+ languages. The eSign Enterprise plan adds real-time status, templates, bulk send, two-factor authentication, and mobile and tablet signing, with a 100 MB file limit. API Enterprise is the stronger choice for organizations embedding signing in their own systems: it includes REST API access, embedded signing, full white-labeling, real-time reporting, and customized workflows. The API Sandbox offers an open REST API 3.0 sandbox with enterprise-level functionality, making it suited to evaluation and development rather than a substitute for the listed enterprise API plan.

Security and implementation

Certinal says healthcare data is encrypted at rest with AES-256 and in transit with TLS 1.2 or higher, and that it provides a signed BAA for healthcare customers. Its compliance credentials include ISO 27001:2013, SSAE SOC I and SOC II Type 2, and IRAP, among other standards. eSignature implementation can be completed within a week, subject to implementation requirements; that gives buyers a useful target, but the qualification matters for systems with more complex needs.

Pricing

Certinal uses paid, custom pricing, so buyers must request a quote to compare the plans against their budgets. Consent and Compliance Enterprise is aimed at enterprise health systems managing consent across multiple hospitals, departments, and regulatory geographies. Its EMR integration, multi-channel capture, identity verification, and language support suit that scale, but may be more than a smaller organization needs.

eSign Enterprise is the general signing option, with a 100 MB file limit and real-time status, templates, bulk sending, two-factor authentication, and mobile and tablet signing. The eSignature API Sandbox provides a REST API 3.0 environment for evaluation, while API Enterprise adds embedded signing, white-labeling, reporting, and custom workflows for production integrations. No seat quotas or renewal terms are stated for these plans. The eSign FAQ offers a two-week trial at no additional cost, giving teams a short window to assess fit before committing.

Platforms

Certinal supports Android, iOS, web, and API access. Mobile support is relevant to patient intake and signing on phones or tablets; API access gives organizations another route to connect signing with their own systems.

Who it's for

Certinal is best suited to enterprise health systems coordinating consent across multiple hospitals or departments, particularly those using one of its direct EHR integrations or able to connect through HL7 and FHIR. Its consent-specific workflows, patient intake links, and EMR filing address a more specialized need than basic eSignature. A small practice or a team mainly seeking a low-cost general signing tool is less likely to benefit from that enterprise scope and custom-priced plans.

Pros and cons

• Pro: Healthcare consent covers surgical, procedure-specific, clinical-trial, treatment, and data-processing needs, so organizations can handle varied patient approvals within one consent workflow.
• Pro: Direct connections to Epic, Oracle Cerner, MEDITECH, and OpenEMR, plus HL7 and FHIR support for other systems, give health systems several paths to EHR integration.
• Pro: Pre-appointment registration and consent through SMS or email links can move intake online before a patient arrives.
• Pro: The API Enterprise plan includes embedded signing and white-labeling, useful for organizations integrating signing into their own applications.
• Con: Custom pricing gives buyers no published starting price for budgeting or quick comparison.
• Con: The two-week trial is brief for teams that need to evaluate complex workflows and integrations.
• Con: Enterprise-focused consent capabilities may be unnecessary overhead for smaller practices with basic signing needs.

Alternatives

For a broader comparison, browse Electronic Signature Software or E-Signature Software.

• BoldSign is worth considering for buyers who want a free plan with 25 envelopes per month, two templates, and one user.
• Dropbox Sign suits buyers who want a free plan capped at three signature requests per month and a paid Essentials option at $15 a month.
• Signaturely offers a free plan with one document or signature request per month and an audit trail and history.
• Xodo Sign is an option for buyers seeking a free plan capped at three documents per month or an API sandbox with two production API documents.
• Dokobit offers a free forever plan with three signatures and three basic liability document validations per month, plus 100 MB of storage.
• Leegality may suit buyers who prefer pay-per-successful-eSign pricing, with a minimum purchase of INR 100 in eSign Credits on its Basic Plan.
• Secured Signing is another eSignature option for buyers to compare.
• Skribble offers a free Starter plan with one user and per-signature pricing: SES €1, AES €3, or QES €5.

Verdict

Choose Certinal if your health system needs patient consent workflows connected to intake and the EHR, especially across multiple hospitals or departments. Its healthcare focus, range of consent types, and API options give it a clear purpose beyond routine signing. Look elsewhere if you need a low-cost tool with a published price or only occasional general-purpose signatures.