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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
1-5
B
5-15
C
16-30
D
30+
6. Do you store patient records electronically
*
6. Do you store patient records electronically
A
Yes
B
No
C
Some paper, some electronic
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
Yes
B
No
C
Not sure
9. Do you have a written HIPAA compliance policy?
*
9. Do you have a written HIPAA compliance policy?
A
Yes
B
No
C
Not sure
10. Do your employees receive HIPAA training?
*
10. Do your employees receive HIPAA training?
A
Yes, annually
B
Yes, when hired only
C
No
D
Not sure
11. Do you use encrypted email to send patient information?
*
11. Do you use encrypted email to send patient information?
A
Yes
B
No
C
Not sure
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
Yes
B
No
C
Not sure
13. o you back up patient data regularly?
*
13. o you back up patient data regularly?
A
Yes, daily
B
Yes, weekly
C
Rarely
D
No
E
Not sure
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?
*
Submit