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BUSINESS ASSOCIATE AMENDMENT Pursuant to an agreement dated between and Arizona Computer Services, Inc. (Business Associate) (Agreement), the parties hereby amend the Agreement effective April 14,

How to fill out business associate amendment

How to fill out a business associate amendment:

1. Start by gathering the necessary information: To fill out a business associate amendment, you will need to collect certain details such as the names of the parties involved, their contact information, and any specific changes or updates that need to be made.
2. Review the existing agreement: Before filling out the amendment, thoroughly review the original business associate agreement. This will help you understand the current terms and conditions, as well as identify which sections need to be modified or revised.
3. Identify the changes: Determine which specific aspects of the agreement need to be amended. It may include updating contact information, adding or removing parties, modifying obligations or responsibilities, or any other necessary adjustments.
4. Draft the amendment: Using a template or legal language, draft the business associate amendment. Clearly state the modifications being made and provide the reasoning behind these changes. Ensure that the language used is appropriate and legally sound.
5. Include necessary signatures: Both parties involved in the agreement should sign the amendment to make it legally valid. Make sure to obtain the appropriate signatures and retain copies for your records.

Who needs a business associate amendment:

1. Covered entities: Covered entities such as healthcare providers, health plans, and healthcare clearinghouses may require a business associate amendment when there are changes to their relationships with business associates. This usually happens when there is a need to update or modify the original business associate agreement.
2. Business associates: Business associates, who are individuals or organizations that handle protected health information (PHI) on behalf of covered entities, may also need a business associate amendment. This can occur if there are changes in their responsibilities, obligations, or if any other modifications are required to align with the covered entity's requirements.

In summary, filling out a business associate amendment involves gathering necessary information, reviewing the existing agreement, identifying changes, drafting the amendment, and obtaining relevant signatures. Covered entities and business associates may need a business associate amendment based on their evolving relationships and changes in responsibilities.

For pdfFiller’s FAQs

What is business associate amendment?

A business associate amendment is a document that amends a current business associate agreement between a covered entity and a business associate to reflect changes in the relationship or legal requirements.

Who is required to file business associate amendment?

Both covered entities and business associates are required to file a business associate amendment when changes occur in their relationship that impact the agreement.

How to fill out business associate amendment?

To fill out a business associate amendment, both parties must come to an agreement on the changes needed, update the necessary information in the agreement, and have all parties sign and date the amendment.

What is the purpose of business associate amendment?

The purpose of a business associate amendment is to ensure that the business associate agreement accurately reflects the current relationship between the covered entity and business associate, as well as any changes in legal requirements.

What information must be reported on business associate amendment?

The business associate amendment should include details about the changes being made to the agreement, such as updated contact information, revised terms and conditions, and any additional obligations or responsibilities.

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