Part V – QHIN Privacy and Security Requirements

Part I – Basic Applicant Information

Part II – Organizational Requirements

Part III – Exchange of Required Information and Ability to Perform Functions of a QHIN

Part IV – Organizational Infrastructure and Legal Authority

Part V – QHIN Privacy and Security Requirements

Part VI – Project Plan

Part VII - Background References

Part VIII - Attestation

Question 42.

For the Designated Network, submit a copy of the most recent internet-facing penetration testing summary report. If the testing summary report contains IP addresses or any other identifiable information that is considered confidential or of a sensitive nature, for example, a host name and the specific vulnerability associated with that host name, please redact such information.

If you do not have evidence of the most recent internet-facing penetration testing summary report at the time of application, please address in the project plan required in Part VI of this application how you will fulfill this obligation prior to conformance testing.

"*" indicates required fields

Hidden

Drop files here or
Accepted file types: xls, xlsx, pdf, doc, docx, Max. file size: 50 MB.

    Attestation: By selecting this box, I attest that an independent third party conducted internet-facing penetration testing for the Designation Network*

    Stay Connected

    Complete the form below and join our mailing list.