Form preview

Get the free Business Associate Agreement

Get Form
This agreement outlines the terms and conditions under which a Business Associate may access, use, and disclose Protected Health Information (PHI) in compliance with HIPAA and related laws.
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
Use the instructions below to start using our professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit business associate agreement. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. Sign up for a free account to view.

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 names and addresses of both the covered entity and the business associate.
02
Define the purpose: Specify the purpose for which the business associate will have access to protected health information (PHI).
03
Outline definitions: Include clear definitions of terms such as 'business associate,' 'protected health information,' and 'covered entity.'
04
Specify permitted uses and disclosures: Clearly outline how the business associate may use and disclose PHI.
05
Include safeguards: Specify the administrative, physical, and technical safeguards the business associate must implement to protect PHI.
06
Address reporting requirements: Include a requirement for the business associate to report any breaches of PHI.
07
Detail termination provisions: Define the terms under which the agreement can be terminated and how PHI must be handled upon termination.
08
Discuss compliance obligations: Ensure the business associate acknowledges their duty to comply with HIPAA and other relevant regulations.
09
Obtain signatures: Ensure that the agreement is signed by authorized representatives of both parties.

Who needs business associate agreement?

01
Any healthcare provider, health plan, or healthcare clearinghouse that handles PHI and engages with third-party vendors or contractors.
02
Business associates that perform functions on behalf of covered entities involving the use or disclosure of PHI.
03
Organizations needing to ensure HIPAA compliance when sharing sensitive health information with partners or vendors.
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
52 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.

Download and install the pdfFiller Google Chrome Extension to your browser to edit, fill out, and eSign your business associate agreement, which you can open in the editor with a single click from a Google search page. Fillable documents may be executed from any internet-connected device without leaving Chrome.
Yes. By adding the solution to your Chrome browser, you may use pdfFiller to eSign documents while also enjoying all of the PDF editor's capabilities in one spot. Create a legally enforceable eSignature by sketching, typing, or uploading a photo of your handwritten signature using the extension. Whatever option you select, you'll be able to eSign your business associate agreement in seconds.
When you use pdfFiller's add-on for Gmail, you can add or type a signature. You can also draw a signature. pdfFiller lets you eSign your business associate agreement and other documents right from your email. In order to keep signed documents and your own signatures, you need to sign up for an account.
A Business Associate Agreement (BAA) is a legally binding document that outlines the responsibilities and requirements for protecting the privacy and security of protected health information (PHI) when a business associate handles or processes this information on behalf of a covered entity.
Covered entities, such as healthcare providers, health plans, and healthcare clearinghouses, are required to file a business associate agreement with any third-party business associates that provide services involving protected health information (PHI).
To fill out a business associate agreement, parties involved should identify the covered entity and business associate, define the scope of services, describe permissible uses and disclosures of PHI, outline safeguards for PHI, and include terms relating to breach notification and termination of the agreement.
The purpose of a business associate agreement is to ensure that business associates comply with HIPAA regulations regarding the handling, processing, and protection of protected health information (PHI), and to establish clear responsibilities in case of data breaches or violations.
A business associate agreement must report information such as the names of the covered entity and business associate, the specific services provided, the permitted uses and disclosures of PHI, security safeguards, breach notification procedures, 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.