Form preview

Get the free This Business Associate Agreement is made this day of , by and between the State of ...

Get Form
State of Maine Department of Administrative and Financial ServicesBusiness Associate Agreements Business Associate Agreement is made this day of, by and between the State of Maine (State), Department
We are not affiliated with any brand or entity on this form

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.

How to edit 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
In order to make advantage of the professional PDF editor, follow these steps below:
1
Log in to account. Click Start Free Trial and sign up a profile if you don't have one.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit this business associate agreement. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
It's easier to work with documents with pdfFiller than you can have believed. Sign up for a free account to view.

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 this business associate agreement

Illustration

How to fill out this business associate agreement

01
Read the entire business associate agreement carefully to understand all the clauses and requirements.
02
Fill in the date on the specified field.
03
Provide the legal name and address of your organization.
04
Include the legal name and address of the covered entity you are entering into the agreement with.
05
Specify the purpose for which you are entering into the agreement.
06
Indicate the parties' responsibilities and obligations regarding protected health information (PHI) and its use, disclosure, and safeguarding.
07
Include any additional provisions, if required, based on the specific needs of your organization.
08
Review and double-check all the information filled in the agreement.
09
Sign the agreement and ensure that all relevant parties also sign it.
10
Keep a copy of the signed agreement for your records.

Who needs this business associate agreement?

01
Any organization that handles protected health information (PHI) and has a business relationship with a covered entity, as defined by the Health Insurance Portability and Accountability Act (HIPAA), needs to have a business associate agreement.
02
This includes healthcare providers, health plans, healthcare clearinghouses, and any other entity that performs functions or services involving PHI on behalf of a covered entity.

What is This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at Form?

The This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at is a writable document needed to be submitted to the required address to provide specific information. It must be filled-out and signed, which is possible in hard copy, or with the help of a particular solution e. g. PDFfiller. It allows to fill out any PDF or Word document directly in your browser, customize it depending on your purposes and put a legally-binding e-signature. Right away after completion, the user can send the This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at to the appropriate individual, or multiple recipients via email or fax. The blank is printable as well due to PDFfiller feature and options offered for printing out adjustment. In both electronic and physical appearance, your form will have a clean and professional appearance. You may also turn it into a template for further use, there's no need to create a new file again. Just amend the ready form.

Instructions for the This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at form

Before start filling out This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at Word form, ensure that you prepared enough of information required. It's a very important part, since typos can cause unpleasant consequences from re-submission of the full word form and filling out with deadlines missed and you might be charged a penalty fee. You need to be really observative filling out the figures. At a glimpse, you might think of it as to be not challenging thing. Yet, it's easy to make a mistake. Some use some sort of a lifehack keeping all data in another file or a record book and then add it into document's template. Nevertheless, put your best with all efforts and present actual and solid information in your This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at form, and check it twice while filling out all fields. If it appears that some mistakes still persist, you can easily make some more amends while using PDFfiller editor without missing deadlines.

Frequently asked questions about the form This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at

1. Would it be legit to complete forms digitally?

As per ESIGN Act 2000, Word forms filled out and approved with an electronic signature are considered to be legally binding, equally to their physical analogs. This means you're free to fully complete and submit This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at ms word form to the establishment needed using digital solution that fits all requirements in accordance with its legal purposes, like PDFfiller.

2. Is it risk-free to fill out sensitive information from web application?

Yes, it is completely safe thanks to features offered by the service you use for your workflow. As an example, PDFfiller delivers the pros like:

  • All personal data is stored in the cloud that is facilitated with multi-level encryption, and is also prohibited from disclosure. It's user only who has access to personal files.
  • Each writable document signed has its own unique ID, so it can’t be forged.
  • User can set additional security such as verification of signers by photo or password. There is an folder encryption method. Place your This Business Associate Agreement is made this day of , by and between the State of Maine (State), Department of Administrative and Financial Services (Department) and (Business Associate) with an address at form and set your password.

3. Can I upload my data to the fillable form from another file?

To export data from one document to another, you need a specific feature. In PDFfiller, we call it Fill in Bulk. Using this one, you'll be able to take data from the Excel worksheet and insert it into your document.

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
4.6
Satisfied
58 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.

With pdfFiller, an all-in-one online tool for professional document management, it's easy to fill out documents. Over 25 million fillable forms are available on our website, and you can find the this business associate agreement in a matter of seconds. Open it right away and start making it your own with help from advanced editing tools.
It's easy to make your eSignature with pdfFiller, and then you can sign your this business associate agreement right from your Gmail inbox with the help of pdfFiller's add-on for Gmail. This is a very important point: You must sign up for an account so that you can save your signatures and signed documents.
The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign this business associate agreement and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.
The business associate agreement is a legal contract between a covered entity and a business associate that outlines the responsibilities and obligations of each party in relation to protected health information.
Covered entities and their business associates are required to have a business associate agreement in place.
The business associate agreement can be filled out by including specific language that outlines the responsibilities of the business associate in relation to protected health information.
The purpose of the business associate agreement is to ensure that protected health information is properly safeguarded and that both parties understand their obligations.
The business associate agreement should include details such as the permitted uses of protected health information, safeguards to protect the information, and procedures for reporting breaches.
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
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.