Secure Intake

Information & Authorization

Please fill out the form below with the information we need to generate your unique intake code and prepare your testing instructions. Once complete, you will be guided to the payment screen.

Test selected: HIPAA/PHI Security for Employees

Testing is as easy as 1, 2, 3

Complete the intake form, whether you are taking the test yourself or purchasing for someone else.
Enter your payment information.
You will receive an email with your intake code, payment link, and next-step instructions.

Call (877) 958-8900 for help and we'll point you in the right direction.

Purchaser first name

Purchaser last name

Purchaser email (receipt)

Purchaser mobile phone (SMS certificate and renewal reminders)

Buying for?

Myself Someone else

Access code

Company name

Manager name

Manager email

Privacy and training record handling: I authorize trueTest to use this intake information to administer HIPAA/security training, deliver completion records, and send required renewal reminders.

I confirm the information above is accurate and authorize 1 True Health to facilitate this HIPAA/security training workflow.

Typed signature

I consent to be contacted with my screening access code and follow-up instructions.

I consent to receive SMS messages with certificate links and renewal reminders. Message and data rates may apply.

Payment is blocked until all required intake fields and acknowledgements are complete. View Terms and contact support before continuing.

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Information & Authorization

Testing is as easy as 1, 2, 3

Purchaser and test taker information

Doctor, company, or organization code

Company and manager information

Test taker details

Acknowledgement & Authorization