Form preview

Get the free Business Associate Agreement

Get Form
This Agreement establishes the requirements for the Department of Veterans Affairs Veterans Health Administration and Business Associate to manage and comply with the Health Insurance Portability
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.

How to edit 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 our professional PDF editor, follow these steps:
1
Log in to account. Start Free Trial and register a profile if you don't have one yet.
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 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
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
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.
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: Clearly state the name and information of the covered entity and the business associate.
02
Define the purpose: Explain the purpose of the agreement, detailing how PHI (Protected Health Information) will be used.
03
Outline permitted uses and disclosures: Specify how the business associate can use PHI and under what circumstances it can be disclosed.
04
Include safeguards: Describe the security measures the business associate must implement to protect PHI.
05
Address reporting obligations: Outline the requirement for the business associate to report any breaches of PHI to the covered entity.
06
Include termination conditions: Specify the conditions under which the agreement may be terminated and how PHI is handled post-termination.
07
Review and sign: Ensure both parties review the agreement and sign it to make it legally binding.

Who needs business associate agreement?

01
Healthcare providers who handle PHI.
02
Insurance companies that use or process PHI.
03
Third-party service providers who have access to PHI.
04
Business entities working with healthcare organizations in any capacity that involves PHI.
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
4.5
Satisfied
56 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.

The premium pdfFiller subscription gives you access to over 25M fillable templates that you can download, fill out, print, and sign. The library has state-specific business associate agreement and other forms. Find the template you need and change it using powerful tools.
You may quickly make your eSignature using pdfFiller and then eSign your business associate agreement right from your mailbox using pdfFiller's Gmail add-on. Please keep in mind that in order to preserve your signatures and signed papers, you must first create an account.
Use the pdfFiller mobile app and complete your business associate agreement and other documents on your Android device. The app provides you with all essential document management features, such as editing content, eSigning, annotating, sharing files, etc. You will have access to your documents at any time, as long as there is an internet connection.
A business associate agreement (BAA) is a legally binding document that outlines the responsibilities and requirements between a healthcare provider and a business associate regarding the handling of protected health information (PHI) in compliance with HIPAA regulations.
Healthcare providers, health plans, and healthcare clearinghouses that share protected health information with business associates are required to file a business associate agreement with their business associates.
To fill out a business associate agreement, identify the parties involved, define the scope of services, detail the safeguards for PHI, specify permitted uses and disclosures, outline responsibilities for breach notification, and ensure compliance with HIPAA regulations.
The purpose of a business associate agreement is to ensure that business associates handle PHI in a manner that complies with HIPAA regulations, thereby protecting patient confidentiality and ensuring that proper safeguards are in place.
A business associate agreement must report the names and addresses of the parties, define the nature and purpose of the services provided, detail the permitted uses and disclosures of PHI, specify security measures, outline breach notification procedures, and clarify the liability and indemnification aspects.
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.