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BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement effective on, 20 (the Effective Date) is entered into by and between Easter Seals New Hampshire, Inc. with its principle place of business
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How to fill out this business associate agreement

01
Before filling out the business associate agreement, make sure you have a copy of the agreement template.
02
Read through the entire agreement to understand its requirements and provisions.
03
Enter the legal names and addresses of both parties involved in the agreement.
04
Clearly define the scope of the services being provided by the business associate and the responsibilities of both parties.
05
Include any additional terms or conditions that are relevant to your specific arrangement.
06
Review the agreement with legal counsel to ensure compliance with relevant laws and regulations.
07
Sign and date the completed agreement, and make copies for both parties.
08
Keep the signed agreement on file for future reference.

Who needs this business associate agreement?

01
Any covered entity or healthcare organization that shares protected health information (PHI) with a business associate
02
Business associates that handle PHI on behalf of covered entities
03
Healthcare providers, health plans, and healthcare clearinghouses who outsource certain functions or services to third-party vendors

What is This Business Associate Agreement effective on , 20 (the Effective Date) is entered into by and between Easter Seals New Hampshire, Inc - links eastersealsnh Form?

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Instructions for the form This Business Associate Agreement effective on , 20 (the Effective Date) is entered into by and between Easter Seals New Hampshire, Inc - links eastersealsnh

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A business associate agreement is a contract between a covered entity and a business associate that outlines the responsibilities of each party regarding the protection of protected health information.
Covered entities, such as healthcare providers and health plans, are required to file a business associate agreement.
The business associate agreement can be filled out by detailing the specific obligations of the business associate in protecting the PHI of the covered entity.
The purpose of the business associate agreement is to ensure that the business associate is compliant with HIPAA regulations and will safeguard the protected health information of the covered entity.
The business associate agreement must include details about how the business associate will use and disclose PHI, as well as safeguards to protect PHI.
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