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Free HIPAA Risk Assessment — Dental Practices

Section 1 — Basic Info

1. What is your practice name?

2. What is your full name and title?

3. What is your email address?

4. What city is your practice located in?

Section 2 — Practice Details

5. How many employees does your practice have?

5. How many employees does your practice have?
A
B
C
D

6. Do you store patient records electronically

6. Do you store patient records electronically
A
B
C

7. What practice management software do you use? (examples: Dentrix, Eaglesoft, Open Dental, not sure)

Section 3 — Security & Compliance

8. Have you ever had a formal HIPAA risk assessment done?

8. Have you ever had a formal HIPAA risk assessment done?
A
B
C

9. Do you have a written HIPAA compliance policy?

9. Do you have a written HIPAA compliance policy?
A
B
C

10. Do your employees receive HIPAA training?

10. Do your employees receive HIPAA training?
A
B
C
D

11. Do you use encrypted email to send patient information?

11. Do you use encrypted email to send patient information?
A
B
C

12. Do you have a firewall and antivirus on all office computers?

12. Do you have a firewall and antivirus on all office computers?
A
B
C

13. o you back up patient data regularly?

13. o you back up patient data regularly?
A
B
C
D
E

Section 4 — Current Pain Points

What is your biggest IT or compliance concern right now?

Is there anything else you'd like us to know about your practice?