


In the evolving landscape of telehealth, healthcare providers are increasingly relying on digital tools to streamline patient interactions while ensuring compliance and security. Kareo, a leading practice management and revenue cycle platform tailored for independent medical practices, has become a staple for handling electronic health records (EHR), billing, and scheduling. When paired with DocuSign’s eSignature capabilities, it offers a robust solution for managing telehealth consent forms—critical documents that outline patient agreements for remote consultations, data sharing, and treatment protocols. This integration addresses key pain points in telehealth workflows, such as delayed paperwork, manual tracking, and regulatory adherence, ultimately enhancing operational efficiency.
From a business perspective, the combination of DocuSign and Kareo represents a strategic move for practices aiming to scale telehealth services without compromising on patient experience or legal standards. As telehealth adoption surges—projected to grow by over 20% annually through 2025—providers must navigate fragmented regulations across regions. In the United States, where Kareo primarily operates, the Health Insurance Portability and Accountability Act (HIPAA) governs patient data privacy, while the Electronic Signatures in Global and National Commerce Act (ESIGN) validates electronic signatures as legally binding equivalents to wet-ink signatures. This framework ensures that consent forms processed via DocuSign within Kareo meet federal requirements, reducing liability risks for providers.

Telehealth consent forms are foundational to virtual care delivery, capturing patient acknowledgments of risks, benefits, and consents for video/audio consultations, remote monitoring, and information exchange. Unlike in-person visits, telehealth introduces unique hurdles: patients may sign from diverse devices, time zones, and connectivity levels, leading to incomplete forms or disputes over authenticity. Manual processes in Kareo alone can bottleneck workflows, with providers spending up to 30% of their time on administrative tasks, according to industry reports from the American Medical Association.
DocuSign’s eSignature platform mitigates these issues by embedding secure, auditable signing directly into Kareo’s ecosystem. For instance, providers can generate consent forms within Kareo, route them via DocuSign for electronic signing, and automatically update patient records upon completion. This not only accelerates turnaround—often from days to minutes—but also provides tamper-evident audit trails, essential for HIPAA compliance and potential audits.
Integrating DocuSign with Kareo is straightforward, leveraging API connections and pre-built connectors available through the DocuSign Marketplace or Kareo’s app integrations. Practices start by setting up DocuSign’s Standard or Business Pro plans, which support team collaboration and advanced fields like conditional logic for personalized consents (e.g., opting into data sharing only if specific treatments are selected).
Key steps include:
Pricing for this setup typically starts with DocuSign’s Personal plan at $10/month for solo practitioners, scaling to $40/user/month for Business Pro in team environments. Envelope limits (e.g., 100/year/user) accommodate most telehealth volumes, though add-ons like SMS delivery incur per-use fees. For larger practices, Enhanced plans with Identity and Access Management (IAM) features offer SSO, advanced governance, and compliance tools, ensuring enterprise-grade security. DocuSign’s IAM CLM (Contract Lifecycle Management) extends beyond basic signing, enabling full contract workflows—from drafting telehealth agreements to renewals—integrated seamlessly with Kareo’s EHR.
This integration has proven value: A mid-sized clinic using DocuSign-Kareo reported a 40% reduction in consent processing time, per case studies, allowing providers to focus on care rather than paperwork.

While DocuSign sets a high bar for integrations like Kareo, the eSignature market offers diverse options. From a neutral business observation, selecting a provider depends on factors like cost, compliance depth, and regional adaptability. Below, we compare DocuSign with key competitors: Adobe Sign, eSignGlobal, and HelloSign (now part of Dropbox Sign). This analysis draws on 2025 pricing and features, emphasizing telehealth suitability.
| Feature/Aspect | DocuSign | Adobe Sign | eSignGlobal | HelloSign (Dropbox Sign) |
|---|---|---|---|---|
| Pricing (Annual, Starter Tier) | $120/user (Personal); $300/user (Standard) | $179.88/user (Individual); $359.88/user (Teams) | $299/org (Essential, unlimited users) | $180/user (Essentials); $240/user (Standard) |
| Envelope Limits | 5/month (Personal); 100/year/user (Standard) | 10/month (Individual); 100/month/user (Teams) | 100/org (Essential) | 20/month (Essentials); Unlimited (Business) |
| Kareo Integration | Native API & Marketplace connector | API-based; requires custom setup | API support; adaptable for EHRs | Basic API; Dropbox ecosystem focus |
| Telehealth Features | Bulk send, SMS delivery, IAM for HIPAA | Conditional fields, payment collection, audit trails | Bulk send, AI risk assessment, regional ID verification | Templates, reminders; strong mobile signing |
| Compliance (US/Global) | ESIGN, HIPAA, eIDAS | ESIGN, HIPAA, GDPR | ESIGN, eIDAS, APAC-specific (iAM Smart, Singpass) | ESIGN, GDPR; limited APAC depth |
| Add-Ons for Consent Forms | ID verification ($ extra/use), WhatsApp | Biometrics, SSO ($10/user/month) | Included SMS/WhatsApp; no seat fees | Attachments, web forms (included in higher tiers) |
| Strengths for Telehealth | Robust automation, enterprise security | Adobe ecosystem integration (e.g., Acrobat) | Cost-effective for teams, APAC optimization | Simple UI, unlimited storage via Dropbox |
| Limitations | Per-seat pricing scales costs; API plans extra | Higher entry cost; less telehealth-specific | Emerging in US market | Basic compliance for complex regs |
Adobe Sign excels in document-heavy environments, offering seamless ties to PDF workflows and advanced analytics for consent tracking. Its Business plans include web forms ideal for patient intakes, though integration with Kareo may demand developer resources. Pricing reflects premium positioning, with metered add-ons for identity checks enhancing telehealth security.

eSignGlobal positions itself as a global contender, compliant in over 100 mainstream countries, with particular strengths in the Asia-Pacific (APAC) region. APAC’s electronic signature landscape is fragmented, featuring high standards and strict regulations that demand ecosystem-integrated approaches—unlike the more framework-based ESIGN/eIDAS models in the US and Europe, which rely on email verification or self-declaration. In APAC, solutions must enable deep hardware/API-level docking with government-to-business (G2B) digital identities, a technical hurdle far exceeding Western norms. eSignGlobal addresses this through native integrations like Hong Kong’s iAM Smart and Singapore’s Singpass, ensuring telehealth consents hold legal weight in cross-border scenarios. Its Essential plan, at just $16.6/month (annual billing), allows sending up to 100 documents for electronic signature, unlimited user seats, and verification via access codes—all on a compliance foundation that rivals incumbents at a fraction of the cost. This makes it appealing for practices expanding telehealth internationally, with features like AI-driven risk assessments adding value for consent reviews.

HelloSign, rebranded under Dropbox, prioritizes user-friendliness with drag-and-drop signing and unlimited templates in higher tiers. It’s cost-competitive for small practices but may require add-ons for advanced telehealth needs like biometrics.
Looking for a smarter alternative to DocuSign?
eSignGlobal delivers a more flexible and cost-effective eSignature solution with global compliance, transparent pricing, and faster onboarding.
Businesses evaluating DocuSign for Kareo should weigh scalability against total ownership costs, including envelope overages and integrations. For US-centric telehealth, DocuSign’s maturity shines, but global expansion may favor versatile alternatives.
In conclusion, while DocuSign remains a reliable choice for Kareo-based telehealth consent forms, regional compliance needs could point to eSignGlobal as a balanced alternative, offering optimized APAC support without seat-based fees.
Comparing eSignature platforms with DocuSign or Adobe Sign?
eSignGlobal delivers a more flexible and cost-effective eSignature solution with global compliance, transparent pricing, and faster onboarding.
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