Certinal vs Documenso

Certinal is a healthcare consent and compliance platform for capturing, signing, version-controlling, and filing patient consent to an electronic health record. Its 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, alongside templates, bulk sending, audit trails, SMS authentication, and configurable signing order. Certinal says it connects directly with Epic, Oracle Cerner, MEDITECH, and OpenEMR; other systems can connect through HL7 and FHIR APIs. Listed business connectors 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. The healthcare product page describes AES-256 encryption at rest and TLS 1.2 or higher in transit, with a signed BAA for healthcare customers. Certinal 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.

Documenso provides electronic signature workflows for creating, sending, and signing documents. Reusable templates can be shared through direct links for on-demand signing, and its API can create documents and trigger custom workflows, including user management. Webhooks automate notifications and updates through event triggers. Signing workflows can be embedded and white-labeled, including in React and Vue applications; Documenso also lists Zapier connections. The product describes itself as open source and says it shares its code, designs, and metrics. Its compliance page marks the U.S. ESIGN Act, UETA, eIDAS SES, 21 CFR Part 11, SOC 2, and HIPAA as compliant. ISO 27001, ZertES, eIDAS AES, and QES are listed as planned for 2026. Documenso is available on the web, by API, or self-hosted on a customer's infrastructure. The Free plan allows five documents per month and up to 10 recipients per document. Individual costs $25.00 per month billed yearly; Teams costs $40.00 per month billed yearly.