HIPAA Incident Report

In the event of an actual or potential HIPAA incident, please use this form to anonymously report it to Ingenious Med. These anonymous reports help us to ensure we continue to protect sensitive PHI and client data to the best of our ability. The information provided is considered confidential.

Please select the day on which this report is being submitted, the date of the actual incident (if you are unsure of the specific day on which the incident occurred, we ask that you please select a date that is most accurate), and a thorough description of the incident. If you wish to remain anonymous, refrain from including any details that may identify you.