Form preview

Get the free Business Associate Agreement

Get Form
This Business Associate Agreement establishes the terms between Pioneers Medical Center and the Business Associate concerning the handling of Protected Health Information (PHI) in compliance with HIPAA regulations.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign business associate agreement

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

Editing 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 the professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, 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 business associate agreement. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, dealing with documents is always straightforward.

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 business associate agreement

Illustration

How to fill out business associate agreement

01
Identify the parties involved in the agreement (Covered Entity and Business Associate).
02
Define the scope of services that the Business Associate will provide.
03
Specify the permitted uses and disclosures of Protected Health Information (PHI).
04
Outline the safeguards the Business Associate must implement to protect PHI.
05
Include provisions for reporting any breaches of PHI.
06
Specify the duration of the agreement and the termination conditions.
07
Ensure compliance with HIPAA regulations and any other applicable laws.
08
Provide for the return or destruction of PHI upon termination of the agreement.

Who needs business associate agreement?

01
Healthcare providers who handle PHI.
02
Health plans that process PHI.
03
Business Associates who provide services that involve PHI.
04
Vendors providing services to the healthcare sector.
05
Consultants and contractors with access to healthcare 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
4.4
Satisfied
25 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.

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 business associate agreement in minutes.
It's easy to make your eSignature with pdfFiller, and then you can sign your 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.
Install the pdfFiller iOS app. Log in or create an account to access the solution's editing features. Open your business associate agreement by uploading it from your device or online storage. After filling in all relevant fields and eSigning if required, you may save or distribute the document.
A business associate agreement (BAA) is a contract between a covered entity and a business associate that outlines the responsibilities of both parties to protect the privacy and security of protected health information (PHI) as mandated by the Health Insurance Portability and Accountability Act (HIPAA).
Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, are required to have business associate agreements in place with any vendors or third parties that handle or have access to protected health information on their behalf.
To fill out a business associate agreement, both parties should define and document their roles, specify the nature of the service relationship, outline required privacy and security measures, and ensure compliance with HIPAA regulations. Both parties then sign the agreement before any services begin.
The purpose of a business associate agreement is to ensure that both the covered entity and the business associate understand their responsibilities regarding the protection of PHI, establish protocols for handling PHI, and reduce the risk of data breaches and legal penalties.
A business associate agreement must include the scope of services provided, security safeguards, permitted uses and disclosures of PHI, the responsibilities of both parties, reporting obligations for breaches, and terms for termination of the agreement.
Fill out your 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.