Form preview

Get the free THIS BUSINESS ASSOCIATE AGREEMENT (the Agreement ) is entered into between

Get Form
University of Washington. Business Associate Agreement. This Agreement is entered into between the University of Washington (hereinafter Covered Entity) ...
We are not affiliated with any brand or entity on this form
4,4
98,753 Reviews
4,5
11,210 Reviews
4,6
715 Reviews
4,6
789 Reviews

Get, Create, Make and Sign this business associate agreement

Edit
Edit your this business associate 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 this business associate agreement form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing this business associate 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
Log in to account. Start Free Trial and register a profile if you don't have one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit this business associate agreement. 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
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
It's easier to work with documents with pdfFiller than you could have believed. You may try it out for yourself by signing up for an account.

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.
Learn more about security & compliance
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out this business associate agreement

Illustration

How to fill out this business associate agreement

01
Read the entire business associate agreement carefully to understand its requirements and obligations.
02
Gather all the necessary information and documentation needed for filling out the agreement.
03
Start by entering the legal names and addresses of both parties involved in the agreement.
04
Specify the effective date and term of the agreement.
05
Identify the type of personal health information that will be disclosed by the covered entity to the business associate.
06
Outline the purposes for the disclosure and use of the protected health information.
07
Define the obligations and responsibilities of the business associate regarding the safeguarding and use of the health information.
08
Include provisions for the implementation of appropriate security measures to protect the personal health information.
09
Describe the procedures for reporting any breaches or incidents involving the protected health information.
10
Specify the conditions for termination or modification of the agreement.
11
Review the completed agreement thoroughly and make any necessary revisions or corrections.
12
Both parties should sign the agreement and retain a copy for their records.

Who needs this business associate agreement?

01
Covered entities under HIPAA (Health Insurance Portability and Accountability Act) who engage external entities to perform certain functions or services that involve the use or disclosure of protected health information.
02
Entities that provide services to hospitals, clinics, doctors, health plans, or other healthcare providers involving the handling of personal health information.
03
Businesses that provide services such as medical billing, IT support, legal counsel, data analysis, or any other function that requires access to personal 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
4.7
Satisfied
37 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.

You may use pdfFiller's Gmail add-on to change, fill out, and eSign your this business associate agreement as well as other documents directly in your inbox by using the pdfFiller add-on for Gmail. pdfFiller for Gmail may be found on the Google Workspace Marketplace. Use the time you would have spent dealing with your papers and eSignatures for more vital tasks instead.
On your mobile device, use the pdfFiller mobile app to complete and sign this business associate agreement. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to discover more about our mobile applications, the features you'll have access to, and how to get started.
Get and install the pdfFiller application for iOS. Next, open the app and log in or create an account to get access to all of the solution’s editing features. To open your this business associate agreement, upload it from your device or cloud storage, or enter the document URL. After you complete all of the required fields within the document and eSign it (if that is needed), you can save it or share it with others.
A business associate agreement is a contract between a covered entity and a business associate that outlines how the business associate will handle protected health information.
Covered entities and their business associates are required to have a business associate agreement in place.
The agreement should be filled out with specific details regarding the handling of protected health information, security measures, and breach notification procedures.
The purpose of the agreement is to ensure that business associates comply with HIPAA regulations and safeguard protected health information.
The agreement should include details on how protected health information will be used, disclosed, and protected.
Fill out your this business associate 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

This Business Associate Agreement is not the form you're looking for?Search for another form here.

Related Features

Copy Card in the Letter Of Recommendation For Law School with ease
Shade Card in the Maternity Photography Contract with ease
Shade Card in the BMI Chart with ease
Erase Text in the Car Lease Agreement Template with ease
Erase Text in the Royalty Agreement Template with ease

Relevant keywords

2016 2009 Delaware HIPAA COVERMYMEDS LLC ePHI Subpart infeasible omissions Portability XIII Reinvestment costbased Miranova privacycovermymeds practicable Subparts Entitys HITECH designee successors Subcontractor promulgated disclosures notifications comp

Related Forms

Form preview
Redlands CollegeAnson Road, Wellington Point, QLD
38 anson rd, wellington point qld 4160 biblepo box 2153, wellington point qld 4160 phone
Fill Now
Form preview
Cmara Municipal - INTA CRUZ
Clara municipal desanta cruz da graciosareunio ord inria de 28 de mai ode 2009aos vine
Fill Now
Form preview
Cmara Municipal - SANTA CRUZ - CRACIOSA
Clara municipal desanta cruz da graciosareunio ord inria de 21 de federico de 2008aos vine
Fill Now
Form preview
This information is essential for the school nurse and school staff in
Questionnaire for parent of a student with seizuresplease complete all questions. this information is essential
Fill Now
Form preview
the Appointment of an 3gb or Higher Building Contractors ...
Bid description: appointment of an 3 gb or higher building contractors for the refurbishment and minor
Fill Now
Form preview
beneviMedizinische Hautpflege fr die anspruchsvolle Haut
Faxantwort fans. 030 / 921071361 ich bitter um die kostenlose sending on: 20 x doppelsachets
Fill Now
Form preview
Texas Restaurant Association - Home Page
Pine ridge chapter spring edition newsletter may 2022presidents message dear members, we restarted our social
Fill Now
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.