BirthTracks

Welcome!

Register as a new practice and receive 60 days free or 15 births (which ever takes longer). Fill out the form below today and begin your trial.

User Information

Last Name

First Name

User Name

Midwife?

Yes

Re-type email

Password (must be at least 6 with both alpha and numeric characters

Re-type Password

Midwife Birth Starting Number

PRACTICE INFORMATION

Office Name

Practice Birth Starting Number

Address (Street)

City

State / Country

Zip (postal code)

PRACTICE PASSCODE
	Passcode (must be atleast 5 characters and different than password)	PASSCODE The passcode adds an additional level of security. Everyone in your practice will use the same passcode and will need it to login. Keep a copy in a safe place because if you lose it, your data is unrecoverable.

	Re-type Passcode

Referral Information
	Please tell us how you heard about us:


	please specify:

Notice of Privacy Practices
	Please read the "Notice of Privacy Practices" and "Our Pledge Regarding the Privacy, Confidentiality, and Security of Protected Health Information on Our System" to learn how BirthTracks protects your data.
	NOTICE OF PRIVACY PRACTICES OUR PLEDGE REGARDING THE PRIVACY, CONFIDENTIALITY AND SECURITY OF PROTECTED HEALTH INFORMATION ON OUR SYSTEM BirthTracks is committed to protecting the privacy and confidentiality of your patients' health information. BirthTracks will not use or disclose any of the data provided by you or others in your practice in a manner that would violate the requirements of the Health Insurance Portability and Accountability Act ("HIPAA") regulations. In accordance with HIPAA�s Security Rule, we can ensure the confidentiality, integrity and availability of all electronic health information that we receive, maintain or transmit. BirthTracks agrees to not use or disclose protected health information other than as described on our website or as required by law. BirthTracks agrees to use appropriate safeguards to prevent use or disclosure of protected health information. BirthTracks' technical safeguards include the following: * A system for identifying, tracking and authenticating user identity; * an encrypted passcode system that allows only those persons that have been granted access, rights to access your patients� protected health information; * automatic logoff procedures that terminate an electronic session after a predetermined time of inactivity; * audit controls that record and examine activity on our site; * policies and procedures that protect health information from improper alteration or destruction; * measures to guard against unauthorized access to electronic healthcare information that is being transmitted; and * integrity controls to ensure that electronically transmitted electronic health information is not improperly modified without detection until disposed of. The data provided by you and others in your practice is encrypted through the passcode system. BirthTracks will use this encrypted information for purposes of data aggregation. Aggregated data only will be available for comparison purposes. BirthTracks will not disclose protected health information to any party other than those who have access to your practice's unique passcode. This passcode is maintained by a person in your practice of your practice's designation. BirthTracks agrees to make internal practices, policies, and records, relating to the use of protected health information available for the purposes of determining compliance with the HIPAA Privacy and Security Rules. The subscriber shall not request BirthTracks to use or disclose protected health information in any manner that would not be permissible under the HIPAA Privacy Rule. DATA SECURITY STATEMENT By requiring both a password and a passcode, BirthTracks has established a two-factor authentication system for granting remote access to data. This ensures that the only people able to access data related to your practice are those who have been granted access rights by you or your practice. For added security, BirthTracks uses an automatic logoff protocol that terminates any inactive sessions and minimizes the possibility of unauthorized access to data. All BirthTracks data is stored on secure servers by the world's largest web hosting company, 1&1. All data transmitted over the internet is protected by the same state of the art security used by hospitals and major financial institutions. BirthTracks transmits data using 256 bit encryption via a secure sockets layer. BirthTracks deidentifies all protected health information before making the aggregated data of its clients available to its users. For example, we do not include the names, addresses, dates of birth, locations, or phone numbers of your patients in our aggregated data. For additional information regarding our privacy, confidentiality and security practices, or to discuss any concerns that you may have regarding the same, please contact our Privacy and Compliance Officer at info@birthtracks.com. Click here to print a copy of the policy for your records

	I have read the BirthTracks Notice of Privacy Practices	Yes

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