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In the States, fax is required by HIPAA because legislators don't understand technology. Which is hilarious because I, like many providers, use a fax service which emails me a PDF of the fax.
That’s not necessarily true, my hospital uses google services (gmail, chat, etc) and it is hippa compliant. If I need to send an email with PII I need to append the subject line with “-phi-“. Now whether you trust google encryption is another thing, but HIPPA says nothing about only using fax