Get the free This BUSINESS ASSOCIATE AGREEMENT (the BAA) is made and entered into as of

Name: Fillable Online This BUSINESS ASSOCIATE AGREEMENT (the BAA) is made and entered into as of Fax Email Print - pdfFiller
Brand: pdfFiller
Rating: 4.2 (42 reviews)

Get Form

Show details

MODEL BUSINESS ASSOCIATE AGREEMENT This BUSINESS ASSOCIATE AGREEMENT (the BAA) is made and entered into as of by and between, an organized under the laws of the (Covered Entity) and, an organized

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign this business associate agreement

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 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 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

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

To use the professional PDF editor, follow these steps below:

1

Set up an account. If you are a new user, click Start Free Trial and establish a profile.

2

Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.

3

Edit this business associate agreement. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.

4

Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.

It's easier to work with documents with pdfFiller than you could have ever thought. 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

How to fill out this business associate agreement

01

To fill out this business associate agreement, follow these steps:

02

Begin by entering the date in the designated field at the top of the document.

03

Fill in the names and contact information of both the covered entity (the party disclosing protected health information) and the business associate (the party receiving the information) in their respective fields.

04

Specify the purpose and nature of the disclosed information in the appropriate section.

05

Indicate the responsibilities of the business associate in safeguarding the protected health information.

06

Ensure that both parties understand and agree upon any conditions for disclosure and use of the information.

07

Include any additional provisions or requirements relevant to the business associate agreement.

08

Review the document thoroughly for accuracy and completeness.

09

Once reviewed, sign and date the agreement, ensuring both parties do the same.

10

Retain a copy of the signed agreement for future reference.

Who needs this business associate agreement?

01

This business associate agreement is needed by any covered entity that discloses protected health information to a business associate. It is required under the Health Insurance Portability and Accountability Act (HIPAA) to establish the responsibilities and requirements of both parties in protecting the privacy and security of health information.

Fill form : Try Risk Free

Rate the form

4.2

Satisfied

42 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.

How can I modify this business associate agreement without leaving Google Drive?

By combining pdfFiller with Google Docs, you can generate fillable forms directly in Google Drive. No need to leave Google Drive to make edits or sign documents, including this business associate agreement. Use pdfFiller's features in Google Drive to handle documents on any internet-connected device.

How do I make changes in this business associate agreement?

pdfFiller not only allows you to edit the content of your files but fully rearrange them by changing the number and sequence of pages. Upload your this business associate agreement to the editor and make any required adjustments in a couple of clicks. The editor enables you to blackout, type, and erase text in PDFs, add images, sticky notes and text boxes, and much more.

How do I fill out this business associate agreement on an Android device?

Use the pdfFiller Android app to finish your this business associate agreement and other documents on your Android phone. The app has all the features you need to manage your documents, like editing content, eSigning, annotating, sharing files, and more. At any time, as long as there is an internet connection.

What is this business associate agreement?

A business associate agreement (BAA) is a legal document that outlines the responsibilities of a business associate regarding the protection of protected health information (PHI) as required by HIPAA regulations.

Who is required to file this business associate agreement?

Covered entities such as healthcare providers, health plans, and healthcare clearinghouses are required to file a business associate agreement with any business associate that handles PHI on their behalf.

How to fill out this business associate agreement?

To fill out a business associate agreement, provide the names and addresses of both parties (the covered entity and the business associate), describe the permitted uses and disclosures of PHI, and include specific safeguard provisions for PHI.

What is the purpose of this business associate agreement?

The purpose of a business associate agreement is to ensure that business associates comply with HIPAA regulations and protect the confidentiality and security of PHI they handle.

What information must be reported on this business associate agreement?

The business associate agreement must report the names of the parties involved, the nature of the services provided, the terms of PHI usage, safeguarding measures, and the rights and responsibilities regarding data 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