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Assurance Program Registration

$100,000 HIPAA One® Assurance Program

To apply for the HIPAA One® Assurance Program, please fill out the following information.

For terms of use, click here.

Webform - Assurance Program Registration

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I attest to the following 6 items:*
- a current, annual HIPAA One® subscription
- a completed HIPAA One® Security Risk Analysis
- resolution of all risks identified in the HIPAA One® Security Risk Analysis
- conducted penetration testing by Modern Compliance Solutions, Inc.
- remediation of all risks identified in the penetration testing
- I have read and accepted the terms of use in https://www.hipaaone.com/assurance-terms
All above boxes must be checked to qualify per the Terms of Use (see link on top of page).*

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