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FAQ
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HIPAA Proposal
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HIPAA Proposal
HIPAA Proposal
1. Please enter your organization name
*
2. Please provide your Name
*
3. Please provide your Title
*
4. Please provide your email address
*
5. Please provide your phone number
*
6. Website
*
7. Please provide your address
8. City
*
9. Post Code
*
10. Country
*
-Select-
11. State
*
12. Number of employees
13. What type of organization are you?
Hospital
Provider
Payer
Business Associate
Other
General Assessment Information
14. What is the time-frame for the project to begin?
*
Next 30 days
Next 3 months
Next 6 months
15. Select the regulations your organization must comply with
HIPAA
HITECH Breach
CCPA
HITRUST
PCI DSS
GDPR
FEDRamp
Other
16. Is there a date the project must be completed by?
/
/
Pick a date
17. Has the project been budgeted?
Yes
No
Maybe
18. How can we help you?
I need a Risk and/or Cybersecurity (Technical Vulnerability) Assessment
I need a HIPAA Risk and/or Cybersecurity (Technical Vulnerability) Assessment
I only need a Cybersecurity Assessment
I want your help with something else
1. Do you use a Cloud Service Provider (CSP)?
-Select-
Yes
No
i. What cloud provider do you use?
-Select-
Advanced Data System
ADS Premier
Azure Active Directory
Dayforce HCM
Peakon
Office365
Origami risk
Google Docs
Zavanta
Pos Pay
Planning And Budgeting Cloud Services (PBCS)
SAP Concur
Netlease
NetAsset
NETSUITE
DocuSign eSignature
Agiloft
AP Automation
FloQast
PBCS/Smartview
SharePoint - OneDrive
SmartRecruiters
Zoom
RingCentral
Google Docs/Forms
MS SQL/PowerBI
AIMS CASELOAD TRACKER
a. How many Subscriptions do you have?
ii. Do you have Virtual Machines in the cloud?
-Select-
Yes
No
2. Do you have a traditional on-premises network (e.g. corporate datacenter)?
-Select-
Yes
No
i. Do you have an on-prem Active Directory Domain Controller?
-Select-
Yes
No
a. Where is your AD hosted?
-Select-
Azure hosted
AWS hosted
Other
Other
HIPAA Risk Assessment Details
19. Have your HIPAA Policies and Procedures been reviewed, updated & approved in the last 12 months?
Yes
No
Maybe
20. What was the date of your last HIPAA Risk Assessment?
/
/
Pick a date
21. Do you have a Business Associate Agreement template?
Yes
No
Captcha
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