DottedSign deploys entirely within your hospital-controlled environment, giving CIOs, IT directors, and compliance officers a private e-signature infrastructure for admissions, consents, procurement, and clinical documentation — with data that stays inside the network you already secure and audit.

Every admission form, consent record, procurement contract, and clinical document that moves through your hospital carries protected health information. DottedSign gives healthcare IT teams a private, on-premise document infrastructure that operates entirely inside hospital-controlled environments, so signed records never have to leave the network you already secure and audit.
Signed patient records get routed through public cloud services outside your hospital's security perimeter
Multiple vendor document tools scatter protected health information across systems IT can't fully audit
Compliance and privacy officers struggle to prove data residency and access control to regulators
Legacy on-premise systems can't support modern e-signature workflows without a costly rebuild
Clinical and administrative staff work around inconsistent tools, creating shadow IT risk
IT security teams lack a clear architecture review process before approving new document workflows
DottedSign's on-premise architecture gives hospital IT teams full control over where signed documents live, how they move, and who can access them.
Deploy and manage DottedSign entirely within your hospital's own servers and network, with a centralized console your IT team fully controls.
Configure signing, routing, and approval workflows to match your hospital's existing document policies, without depending on external cloud logic.
Scale from a single facility to a multi-site health system with a modular architecture that grows with your deployment.
Work with DottedSign's team on a guided architecture assessment before go-live, validating your on-premise deployment against your security and compliance requirements.
Signed documents flow directly into your existing hospital information and electronic medical record systems, with no manual re-entry and no data leaving your network.
Connect DottedSign to your hospital information system and EMR platform so signed records sync automatically with the systems your clinical and administrative teams already use.
Keep signed admissions, consent, and clinical records tied to a single patient data source instead of scattered documents across departments.
Trigger downstream HIS, EMR, or departmental workflow updates automatically the moment a document is signed and completed.
A developer-friendly API and on-premise deployment framework let your IT team configure integration workflows to match existing HIS/EMR rules.
Monitor security posture across your on-premise deployment and produce a complete, audit-ready record the moment regulators or compliance officers ask for one.
Track the security posture of your on-premise deployment continuously, so gaps surface before they become compliance risk.
Every signed patient record, consent form, and procurement contract includes a complete, tamper-evident audit trail your compliance officers can produce on demand.
Control exactly which clinical, administrative, and IT roles can view, sign, or manage documents across your hospital system.
Patient records and compliance documents are encrypted in transit and at rest, supporting HIPAA-aligned retention and regulatory requirements.
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