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Medical IoT Cybersecurity Assessment - SOW/Proposal
Medical IoT Cybersecurity Assessment - SOW/Proposal
Organization name
Contact Name
Title
Email
# of sites to be assessed
-Select-
1
2
3
More
# of servers
-Select-
8 or less
8-32
32-64
64+
# of end systems
-Select-
25 or less
25-50
50-250
250+
Do you have Active Directory?
-Select-
Yes
Yes, Azure Managed AD
No
Time-frame for Assessment
-Select-
with in next 3 months
with in next 6 months
with a year
Regulations organization must comply with?
HIPAA
HITECH Breach
Meaningful Use
PCI DSS
HITRUST
Other
Captcha
Please complete the captcha validation below
Address
City
State
Zipcode
Phone
Scope of proposal?
HIPAA Assessment
HITRUST Assessment
Vulnerability Assessment
Policy Review/Update
Other
Type of organization
-Select-
Hospital
Provider
Payer
Business Associate
Other
If hospital, # of beds
-Select-
25 or less
25-50
50-250
250+
# of employees
-Select-
25 or less
25-50
50-250
250+
Estimated # of medical devices
-Select-
Less than 500
500 to 999
more than 1,000
Estimated # of IoT devices
-Select-
Less than 500
500 to 999
more than 1,000
Date of previous HIPAA assessment?
-Select-
In the last 12 months
12-18 months ago
18-24 months ago
24+ months ago
We have not done one
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