She was the twelfth American recipient of the Florence Nightingale Medal when it was awarded by the International Committee of the Red Cross in 1931.

[8] In 1922, she was co-author of The History of American Red Cross Nursing with Lavinia Dock, Sarah Elizabeth Pickett, Clara D. Noyes, Fannie F. Clement, and Anna R. VanMeter.

"Forceful, direct and unaffected, a keen and analytical thinker and a remarkable organizer, Miss Fox held her bureau in strong hands," according to her colleagues in 1922.

[10][11] She contributed to the discussions on the role of public health nurses in the professionalization of midwifery,[12] and in disaster relief.

[13] She spoke on public health nursing at the National Council of Women meeting in Cincinnati in 1927.