
Get the free HIPAA Business Associate Agreement and Attachment 1 (4-12).docx
Show details
(REV. 4/12)
COMMONWEALTH OF PENNSYLVANIA
BUSINESS ASSOCIATE APPENDIX
Health Insurance Portability and Accountability Act (HIPAA) Compliance
WHEREAS, the Pennsylvania Department of Health (Covered
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign hipaa business associate agreement

Edit your hipaa business associate agreement 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 hipaa business associate agreement form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit hipaa business associate agreement online
To use our professional PDF editor, follow these steps:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit hipaa business associate 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
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.
pdfFiller makes dealing with documents a breeze. Create an account to find out!
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 hipaa business associate agreement

How to fill out hipaa business associate agreement
01
To fill out a HIPAA business associate agreement, follow these steps:
02
Obtain a copy of the agreement template: You can find a sample agreement on the official website of the U.S. Department of Health and Human Services or consult a legal professional.
03
Review the agreement: Familiarize yourself with the terms and conditions stated in the agreement. Pay attention to sections such as Definitions, Obligations of the Business Associate, Permitted Uses and Disclosures, and Indemnification.
04
Provide business information: Fill in your business name, address, phone number, and any other required contact information.
05
Identify the covered entity: Clearly state the name and contact information of the covered entity with which you are entering into the agreement.
06
Specify responsibilities: Outline the specific responsibilities of your business as a business associate. This may include aspects such as safeguarding protected health information, implementing security measures, and reporting breaches.
07
Indicate subcontractors: If applicable, disclose any subcontractors or third parties that will have access to protected health information.
08
Review and revise as needed: Carefully review the entire agreement and make any necessary revisions to ensure compliance and accuracy.
09
Obtain signatures: Once the agreement is finalized, obtain signatures from both parties involved. Make sure each party receives a copy of the signed agreement for their records.
10
Retain the agreement: Keep a copy of the agreement in a secure location for future reference or potential audits.
11
Note: It is highly recommended to consult legal counsel or HIPAA experts when filling out a HIPAA business associate agreement to ensure full compliance with applicable laws and regulations.
Who needs hipaa business associate agreement?
01
A HIPAA business associate agreement is needed by any individual or organization that meets the criteria of a business associate under the HIPAA Privacy Rule. Generally, any entity that provides services to a covered entity and has access to protected health information (PHI) is considered a business associate.
02
Examples of entities that may need a HIPAA business associate agreement include:
03
- Healthcare providers
04
- Health insurance companies
05
- Billing companies
06
- IT service providers
07
- Cloud storage providers
08
- Medical transcription companies
09
- Legal firms representing healthcare providers
10
It is important to note that the requirement for a business associate agreement also applies to subcontractors of a business associate who handle PHI on behalf of the original business associate.
11
Compliance with HIPAA regulations is essential to protect the privacy and security of individuals' health information, and having a business associate agreement in place helps establish the responsibilities and expectations between covered entities and their business associates.
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.
How do I edit hipaa business associate agreement online?
With pdfFiller, it's easy to make changes. Open your hipaa business associate agreement in the editor, which is very easy to use and understand. When you go there, you'll be able to black out and change text, write and erase, add images, draw lines, arrows, and more. You can also add sticky notes and text boxes.
Can I sign the hipaa business associate agreement electronically in Chrome?
Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your hipaa business associate agreement in minutes.
Can I edit hipaa business associate agreement on an Android device?
You can make any changes to PDF files, such as hipaa business associate agreement, with the help of the pdfFiller mobile app for Android. Edit, sign, and send documents right from your mobile device. Install the app and streamline your document management wherever you are.
What is hipaa business associate agreement?
A HIPAA Business Associate Agreement (BAA) is a legal contract between a healthcare provider and a business associate that outlines the responsibilities of protecting patient data and complying with the HIPAA regulations.
Who is required to file hipaa business associate agreement?
Covered entities such as healthcare providers, health plans, and healthcare clearinghouses are required to file a HIPAA Business Associate Agreement with any business associates who have access to protected health information (PHI).
How to fill out hipaa business associate agreement?
To fill out a HIPAA Business Associate Agreement, you should provide details about the parties involved, define the scope of the services provided, specify the permitted uses and disclosures of PHI, and outline the responsibilities of both parties regarding data protection and breach notification.
What is the purpose of hipaa business associate agreement?
The purpose of a HIPAA Business Associate Agreement is to ensure that business associates comply with the HIPAA Privacy and Security Rules when handling protected health information, thereby protecting the confidentiality and integrity of patient data.
What information must be reported on hipaa business associate agreement?
The information that must be reported in a HIPAA Business Associate Agreement includes the identities of the covered entity and the business associate, descriptions of permitted uses and disclosures of PHI, security measures to be taken, and terms for termination of the contract.
Fill out your hipaa 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.

Hipaa Business Associate Agreement 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.