Systems and methods for providing a medical imaging application having a collaboratively-based secure file transfer mechanism. In accordance with some implementations, the medical imaging application may provide a user interface wherein a particular patient record may be selected by user. The medical imaging application may then launch an image viewer wherein the user may view and manipulate patient image data. From within image user interface, a collaboration session may be launched such that multiple users may view and manipulate the patient image data together. The users may be remotely located to a host facility where the patient data is stored. If it is determined that a patient should be transferred from the host facility to another facility, then from within the collaboration session, a user at the host facility may initiate a secure data transfer of the patient image data and other patient information to a receiving facility.