Port-Out Authorization

Port-Out Authorization Form

To protect the security of your fax numbers, Medsender requires written authorization before processing any port-out request. Please complete the form below to proceed.

Authorization Required to Port Your Number

Fax numbers are a critical part of your practice's operations. Unauthorized ports can disrupt patient communications and compromise compliance. This signed authorization ensures your port-out is intentional, verified, and HIPAA-compliant.

  1. 1Click the button below to open the form in a new tab
  2. 2Enter your name and email address when prompted by DocuSign
  3. 3Review and sign the authorization electronically
  4. 4You'll receive a copy of the signed document via email
Open Authorization Form

Thinking it over? Many practices that port away from Medsender return after discovering that other fax solutions lack the AI automation, EHR integrations, and compliance features they depend on. If you have questions or want to explore your options before proceeding, reach out to us at customersuccess@medsender.com