
Get the free Business Associate Contract - Imagine!
Show details
Business Associate Contracts THIS CONTRACT is made and entered into by and between Imagine! (hereinafter called Contractor), a notforprofit Community Centered Board, duly incorporated and existing
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign business associate contract

Edit your business associate contract form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your business associate contract form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit business associate contract online
Here are the steps you need to follow to get started with our professional PDF editor:
1
Check your account. It's time to start your free trial.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit business associate contract. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
With pdfFiller, dealing with documents is always straightforward. Try it right now!
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.
How to fill out business associate contract

How to fill out a business associate contract:
01
Begin by reviewing the purpose of the business associate contract. Understand that this contract is required by the Health Insurance Portability and Accountability Act (HIPAA) for any business or individual who will have access to protected health information (PHI) while performing services on behalf of a covered entity, such as a healthcare provider or insurance company.
02
Familiarize yourself with the specific requirements of the contract. The business associate contract should include provisions that outline the permitted uses and disclosures of PHI, as well as the responsibilities and obligations of both parties involved.
03
Gather all the necessary information to complete the contract. This may include the names and contact information of both the covered entity and the business associate, as well as a detailed description of the services to be provided.
04
Ensure that the contract addresses important HIPAA compliance requirements. This may involve including provisions for breach notification, safeguards for protecting PHI, and the requirement for the business associate to comply with HIPAA regulations.
05
Seek legal advice if necessary. It is recommended to have an attorney review the completed contract to ensure compliance with all applicable laws and regulations.
06
Once the contract is finalized, make sure both parties sign and date the document. Keep a copy of the contract for your records and provide a copy to the other party involved.
Who needs a business associate contract:
01
Covered entities such as healthcare providers, health plans, and healthcare clearinghouses that engage the services of a third party to assist in performing activities that involve the use or disclosure of PHI.
02
Business associates themselves, which can include entities such as billing companies, IT service providers, or consultants, who have access to PHI while performing services on behalf of a covered entity.
03
Any individual or company that may come into contact with PHI and is not directly employed by the covered entity, but rather contracted to provide specific services that involve the use or disclosure of PHI.
04
It is important to note that a business associate contract is required by law under HIPAA to establish the responsibilities and obligations between covered entities and their business associates. Without a valid business associate contract in place, both the covered entity and the business associate may face penalties and legal consequences.
Fill
form
: Try Risk Free
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.
What is business associate contract?
A business associate contract is a written agreement between a covered entity and a business associate that establishes the permitted and required uses and disclosures of protected health information.
Who is required to file business associate contract?
Covered entities and their business associates are required to have a business associate contract in place.
How to fill out business associate contract?
A business associate contract can be filled out by including the required information, such as the permitted and required uses of protected health information, safeguards for protecting the information, and the responsibilities of each party.
What is the purpose of business associate contract?
The purpose of a business associate contract is to ensure that protected health information is properly safeguarded and that both parties understand their responsibilities regarding the information.
What information must be reported on business associate contract?
The business associate contract must include information about the permitted and required uses of protected health information, safeguards for protecting the information, and responsibilities of each party.
How can I get business associate contract?
The premium version of pdfFiller gives you access to a huge library of fillable forms (more than 25 million fillable templates). You can download, fill out, print, and sign them all. State-specific business associate contract and other forms will be easy to find in the library. Find the template you need and use advanced editing tools to make it your own.
How do I complete business associate contract online?
Filling out and eSigning business associate contract is now simple. The solution allows you to change and reorganize PDF text, add fillable fields, and eSign the document. Start a free trial of pdfFiller, the best document editing solution.
How do I edit business associate contract straight from my smartphone?
Using pdfFiller's mobile-native applications for iOS and Android is the simplest method to edit documents on a mobile device. You may get them from the Apple App Store and Google Play, respectively. More information on the apps may be found here. Install the program and log in to begin editing business associate contract.
Fill out your business associate contract 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.

Business Associate Contract is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
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.