Please complete the application form below to request access to HSIN-HPH, an information sharing portal the Healthcare and Public Health sector uses to prepare for and respond to disease outbreaks, natural disasters, terrorist attacks and other all-hazards events.

Keep a record of the password you provide (your birth city).  You will need it as part of your original login and to verify your identity should you ever need to contact the HSIN Helpdesk.

You will receive an email confirmation with additional information once this form has been submitted. Please send any application questions to cip@hhs.gov