Written and maintained by CASRAI Editorial Board
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SignNow shows up on a lot of research-office shortlists because it’s cheap relative to DocuSign and easy to roll out fast. It’s also one of the more common tools grant coordinators and IRB staff outgrow — not because it’s a bad e-signature product, but because a research or grants office’s real workload rarely stops at “get a signature.” Budget justifications get redacted before they go to a sponsor. Consent forms get annotated before an amendment goes back to the IRB. Reference letters and award packets get merged, split, and OCR’d from scanned paper. SignNow doesn’t do any of that — and neither do most of its direct competitors, which is exactly the gap this page is about.
This guide compares SignNow against four real alternatives — Foxit eSign, SignEasy, HelloSign (Dropbox Sign), and CASRAI’s own Sign.Plus — for the specific case of a research administration or grants office deciding what to switch to. Pricing below reflects each vendor’s own published rate card where we could verify it directly, and is marked otherwise where it couldn’t be.
Tip: try code CASRAI at checkout for 15% off, if the offer is currently active for this program — codes vary by vendor and aren’t guaranteed.
SignNow vs SignEasy vs HelloSign vs Foxit eSign at a glance
All figures verified 26 August 2026. SignNow’s own pricing page redirects to a login-gated purchase flow that returns no readable pricing to an automated check — those figures are third-party-reported and marked as such; every other row was checked against the vendor’s own live pricing page.
| Tool | Entry price | Signature volume | Bundled PDF editing? | HIPAA/BAA |
|---|---|---|---|---|
| SignNow | ~$8/user/mo (reported, annual billing) | 100 invites/user/year on standard tiers, ~$0.96–$3.60 per overage invite | No | Reported only on the quote-only Site License plan |
| SignEasy | $10/user/mo annual (Personal) | 5 contracts/mo on Personal; unlimited from Business ($20/user/mo) up | No | Paid add-on, Business Pro and up |
| HelloSign / Dropbox Sign | $15/mo (Essentials, 1 user) | Unlimited on paid tiers | No | Not published; enterprise-only by reputation, unverified |
| Foxit eSign (via PDF Editor+) | Bundled inside Foxit PDF Editor+ (per-seat annual pricing, volume discounts to 30%) | 150 envelopes/year included with PDF Editor+ | Yes — full PDF editor, redaction, OCR, assembly | Not published for eSign specifically — do not assume it, confirm with Foxit before a PHI use case |
| Sign.Plus | $9.99/user/mo annual (Personal) | Unlimited from Professional ($19.99/user/mo annual) up | No | Enterprise only, $49.99/user/mo annual |
The 5 options, compared for a research or grants office
1. SignNow — the incumbent
SignNow’s real advantage is price and simplicity: a straightforward signing tool, cheap entry tiers, and enough workflow (fields, roles, templates) to run a routine consent-form or offer-letter process. Its structural downside for a research office is the same one DocuSign has: it meters signature invites per user per year (100 on standard tiers), which prices badly against an office whose volume is driven by a grant cycle or enrollment wave rather than headcount — a handful of coordinators can blow through the allowance in a busy quarter and start paying per-invite overage. HIPAA with a signed BAA is reported only on SignNow’s quote-only Site License tier, not on the self-serve plans most small offices actually buy.
2. Foxit eSign — worth a second look if you also touch PDF editing
Foxit eSign isn’t sold as a standalone heavyweight signing platform the way SignNow is, and it doesn’t claim to be — it’s an e-signature module (reusable templates, a central audit trail, a signing API, Salesforce integration) that ships bundled inside Foxit PDF Editor+, with 150 signature envelopes a year included on that plan. The case for it isn’t “better signing” — on raw signing feature depth it’s a lighter tool than SignNow or DocuSign. The case is consolidation: an office that’s already redacting participant identifiers out of consent forms, annotating IRB packets, OCR’ing scanned paper budget justifications, or assembling supplementary files for a sponsor gets its e-signature workflow inside the same subscription instead of running Foxit PDF Editor and a separate SignNow or DocuSign seat. That’s one bill and one login replacing two, specifically for offices where PDF editing was already a live need, not a nice-to-have.
See current Foxit eSign + PDF Editor+ pricing →
3. SignEasy
SignEasy is a clean, mobile-friendly signing tool verified at $10/user/mo (Personal, annual) for 5 contracts/month, $20/user/mo for unlimited documents (Business), and $30/user/mo (Business Pro) where SSO and HIPAA become available as paid add-ons rather than being built into a tier. It’s a reasonable SignNow substitute if the office wants a slightly more modern interface and is willing to add HIPAA as a line item rather than get it bundled. A 14-day free trial and a 100-day money-back guarantee on annual plans make it low-risk to pilot.
4. HelloSign (Dropbox Sign)
Dropbox Sign’s Essentials plan ($15/mo, 1 user, unlimited requests) and Standard plan ($25/user/mo, 2-user minimum) are competitive on price for unlimited-volume signing, and the product is well-known and easy to explain to faculty who’ve used it elsewhere. Its own pricing page 404s to an automated fetch and HIPAA terms aren’t published anywhere we could verify — an office with a PHI use case should get that in writing from Dropbox Sign directly before relying on it, rather than assuming enterprise-tier coverage exists.
5. Sign.Plus — CASRAI’s other e-signature affiliate
We also separately recommend Sign.Plus, and it’s worth being direct about how it differs from Foxit eSign rather than picking one line to push. Sign.Plus is a dedicated signing product with unlimited requests from its $19.99/user/mo (annual) Professional tier up, and audit trails plus eIDAS support on every tier, including free — deeper signing-specific feature coverage than Foxit eSign offers. It does not include PDF editing or redaction. If the office’s problem is genuinely just “SignNow’s envelope allowance is too small,” Sign.Plus solves that more directly than Foxit eSign does. If the office’s problem is “we’re paying for signing and a separate PDF tool,” Foxit eSign is the one that collapses two subscriptions into one.
When a standalone e-signature tool is enough
Be honest with yourself about this before switching anything. If the office’s PDF work is limited to opening what a vendor or funder already sent — reading a PDF, printing it, maybe filling a form field — and nobody on the team is regularly redacting participant identifiers, merging scanned pages, running OCR on paper records, or marking up manuscripts, then a standalone signing tool is the right call, full stop. That’s SignNow itself if the current plan already covers the volume, SignEasy or Dropbox Sign if a change is wanted for cost or UI reasons, or Sign.Plus if the real complaint is envelope metering. A bundled PDF-editor suite is not simpler in that scenario — it’s a second product’s worth of functionality the office is paying for and never opening, on a plan that’s frequently the same price or more than a dedicated signing tool at the seat count a small research office actually runs.
When bundling e-signature with PDF editing saves money
The math works the other way when PDF editing is a real, recurring line of work rather than an occasional task — a coordinator who redacts consent forms every week, a lab that regularly OCRs scanned paperwork into searchable records, an office that assembles multi-source supplementary packets for funders on a routine basis. In that case the office is very likely already paying for two things: a signing subscription (SignNow, DocuSign, or similar) and a PDF editor (Adobe Acrobat or a comparable tool) purchased separately, often by different people in different budget lines. Consolidating both into Foxit PDF Editor+ — which includes Foxit eSign and its 150 included envelopes a year — replaces two subscriptions and two logins with one, without asking anyone to give up the redaction or editing tools they already rely on. That’s the entire case for recommending Foxit eSign over a pure-play signing tool: it’s not a stronger signature product, it’s a smaller number of subscriptions doing the same total job.
Compare Foxit PDF Editor+ plans →
Signing IRB and consent forms: what compliance offices actually need
Two things matter more here than which vendor’s logo is on the signing page. First, a legally valid e-signature (ESIGN Act/UETA-compliant, with a timestamped audit trail) is table stakes and every tool on this page provides it — that’s not a differentiator among SignNow, Foxit eSign, SignEasy, Dropbox Sign, or Sign.Plus. Second, and more consequential: if the document contains protected health information, “HIPAA compliant” isn’t a property software has on its own — a vendor that creates, receives, maintains, or transmits PHI on an office’s behalf is a business associate, and 45 CFR 164.308(b)/164.502(e) require a signed Business Associate Agreement before that vendor touches PHI at all. The right question for every tool here is “which specific plan will this vendor sign a BAA on, and what does that plan cost” — not whether the product is generically “HIPAA compliant.” As the comparison table above shows, that plan is frequently the most expensive tier on the price list, and for Foxit eSign specifically it isn’t published at all — confirm it in writing with Foxit before using it for a PHI-bearing consent form or IRB submission, rather than assuming coverage. See our dedicated HIPAA-compliant e-signature comparison for the full tier-by-tier breakdown across vendors.
Separately: none of the five tools here is a validated IRB submission portal or an FDA 21 CFR Part 11 electronic-records system, and none should be treated as one. They’re general-purpose e-signature tools that are fine for getting a wet signature’s legal equivalent onto a consent form or budget document — the actual informed consent process, IRB protocol submission, and any 21 CFR Part 11-scoped clinical trial records still run through the institution’s IRB system and, where applicable, a validated eConsent or clinical-trial-specific platform.
The honest tradeoff
To say it plainly, once more, outside the FAQ: if the office only needs signatures and never touches PDF editing, redaction, or OCR, a standalone tool is simpler and usually cheaper per seat than a bundled PDF-editor suite. That could be sticking with SignNow if the current allowance fits, or moving to Sign.Plus if envelope metering is the actual pain point. Recommend Foxit eSign specifically when PDF editing, redaction, or OCR is a real and recurring part of the office’s workload — not by default, and not because it happens to be the product this page was written to feature.
FAQ
Is SignNow HIPAA compliant?
Not on its standard self-serve plans, as far as we could verify. Third-party sources report that a Business Associate Agreement — the actual legal requirement for handling protected health information under HIPAA — is available only on SignNow’s quote-only Site License tier, not on the Business, Business Premium, or Enterprise plans a typical research office signs up for online. SignNow’s own pricing page doesn’t state this directly (it redirects to a purchase flow rather than a documentation page), so confirm BAA availability and cost with SignNow’s sales team directly before using it for anything containing PHI.
Does SignNow integrate with REDCap?
Not natively. SignNow doesn’t publish a direct REDCap integration, and neither do the other four tools compared on this page — e-signature and clinical data capture are handled by separate systems in most research stacks, connected (if at all) through a general-purpose automation tool or manual export/import rather than a native plug-in. If REDCap integration specifically is the deciding factor, evaluate that against the office’s actual data-capture workflow rather than assuming any e-signature vendor covers it; see our Qualtrics vs REDCap comparison for how REDCap fits into a research data-capture stack more broadly.
Does switching from SignNow require re-signing existing documents?
No. Signed documents remain valid regardless of what tool is used going forward — an e-signature’s legal standing comes from the signing event and its audit trail, not from an ongoing subscription to the tool that captured it. Export or archive anything signed under the old account before canceling it, since access to the audit trail itself typically ends with the subscription.








