*EHNAC Accreditation Program(s) Desired:

To learn which EHNAC program(s) is right for your organization, visit our Program page, or Program Selection page.
*Contact Name:
Title:
*Name of Company:
*Contact email address:
Company Web site:
*Telephone:
*Company Address:
How did you hear about EHNAC?
*Is your company the corporate entity or a subsidiary of a larger organization?
Name of Parent Company (if applicable):
Please list all processing sites that provide the services being accredited:
(Services include: Data Center hosting facilities, Network and System Administrators, Customer Service/Help Desk operations, Product Development operations, Disaster Recovery Facilities, Backup Media Storage facilities, Printing Operations, or Scanning Operations.)
*Annual EHN revenue:

*Required Fields

Accreditation Process

EHNAC Pre-Application

Becoming a candidate for EHNAC accreditation is an easy, two-step process:

  • Answer the few short questions listed in the pre-application form below;
  • Submit the Applicant Agreement and Sentinel Events documents. These documents must be signed by a representative authorized to bind the applicant to those terms and conditions and faxed to 860-760-6630 or uploaded through the EHNAC portal.

Upon review and qualification, EHNAC will send you the electronic address to complete the accreditation application(s) for EHNAC candidate status.

Please Note: For each candidate, EHNAC accreditation requires that a Self-Assessment be completed and that site visits be conducted at each site in which Essential Functions ensure the appropriate administrative, physical, and technical safeguards are in place and enforced for the protection of PHI.

Program fees
The cost for EHNAC Accreditation is dependent upon both the size of your organization and the number of programs selected. Please refer to EHNAC’s Cost Calculation document for more details.