Form preview

Get the free Business Associates Agreement - EthicsPoint

Get Form
BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (Hereinafter Agreement “) dated as of, 2013, is made by and between (Hereinafter Covered Entity) and (Hereinafter Business Associate).
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign business associates agreement

Edit
Edit your business associates agreement form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your business associates agreement form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing business associates agreement online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Check your account. It's time to start your free trial.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit business associates agreement. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out business associates agreement

Illustration

How to fill out a business associates agreement:

01
Review the agreement: Begin by carefully reading through the entire business associates agreement. Familiarize yourself with the terms, conditions, and obligations outlined in the document.
02
Gather necessary information: To complete the agreement, collect all relevant information, including the names and contact details of all parties involved, such as the covered entity and the business associate. Additionally, gather any required documentation or supporting materials.
03
Understand the scope of services: Determine the specific services that the business associate will provide to the covered entity. This may include activities related to healthcare operations, payment transactions, or other functions covered under the Health Insurance Portability and Accountability Act (HIPAA).
04
Review security measures: Ensure that the business associate has adequate security measures in place to protect any protected health information (PHI) that may be shared. This may include measures such as encryption, access controls, or auditing mechanisms.
05
Define responsibilities: Clearly outline the responsibilities and obligations of both parties in the agreement. This can include areas such as safeguarding PHI, reporting breaches or incidents, and complying with applicable laws and regulations.
06
Indicate subcontractor relationships: If the business associate intends to engage subcontractors to carry out some of the agreed-upon responsibilities, request that they provide a list of these subcontractors. Additionally, include provisions that hold subcontractors accountable for complying with the terms of the agreement.
07
Establish termination provisions: Consider including provisions that detail the circumstances under which either party can terminate the agreement. This may include breaches of confidentiality, non-compliance with regulations, or other unforeseen issues.

Who needs a business associates agreement:

01
Covered entities: Covered entities, such as healthcare providers, health plans, or healthcare clearinghouses, may need a business associates agreement when disclosing PHI to a third-party business associate that will assist in carrying out specific functions.
02
Business associates: Business associates, including entities or individuals that provide services to covered entities, may require a business associates agreement when accessing or handling PHI as part of their contracted services. This can include services such as IT support, billing, claims processing, or any other functions that involve the use or disclosure of PHI.
Overall, anyone involved in a business relationship that requires the sharing of PHI should consider implementing a business associates agreement to ensure compliance with HIPAA regulations and to protect the privacy and security of sensitive health information.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
36 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

To distribute your business associates agreement, simply send it to others and receive the eSigned document back instantly. Post or email a PDF that you've notarized online. Doing so requires never leaving your account.
pdfFiller allows you to edit not only the content of your files, but also the quantity and sequence of the pages. Upload your business associates agreement to the editor and make adjustments in a matter of seconds. Text in PDFs may be blacked out, typed in, and erased using the editor. You may also include photos, sticky notes, and text boxes, among other things.
Install the pdfFiller app on your iOS device to fill out papers. Create an account or log in if you already have one. After registering, upload your business associates agreement. You may now use pdfFiller's advanced features like adding fillable fields and eSigning documents from any device, anywhere.
A business associates agreement is a contract between a covered entity and a business associate that outlines how protected health information will be handled.
Covered entities and their business associates are required to file a business associates agreement.
To fill out a business associates agreement, both parties must agree on the terms of how protected health information will be used and protected.
The purpose of a business associates agreement is to ensure that protected health information is properly safeguarded and used only as permitted under HIPAA.
Key information that must be included in a business associates agreement includes how protected health information will be used, safeguarded, and the responsibilities of both parties.
Fill out your business associates agreement online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.