HIPAA Business Associate Agreement Template

Are you a business looking to stay compliant with current HIPAA regulations? If so, this HIPAA Business Associate Agreement Template is exactly what you need! This easy-to-use template helps you to create a legally binding agreement that sets forth the responsibilities of both parties when handling protected health information (PHI). The agreement defines what kind of PHI is being shared and how it must be treated. It also outlines the liabilities and obligations that each party will have in regards to use, disclosure, and security of the PHI.

You can customize the terms to suit your business needs and stay on the right side of legal compliance. With this template, you’ll have all the necessary language for meeting HIPAA standards for protecting patients’ privacy. 

SAMPLE TEXT: This HIPAA Business Associate Agreement (“Agreement”) is made effective as of ______, ______, by and between _______________ (“Covered Entity”), of _______________, _______________, and _______________ (“Business Associate”), of _______________, _______________ (collectively, the “Parties”).

WHEREAS, Business Associate, in connection with its services, may maintain, transmit, create or receive data for or from Covered Entity that constitutes Protected Health Information (“PHI”);

WHEREAS, Covered Entity is or may be subject to the requirements of the Federal Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), the Health Information Technology for Economic and Clinical Health Act (“HITECH”), and related regulations;

WHEREAS, with respect to the foregoing, Business Associate is or may be subject to the requirements of HIPAA, HITECH and related regulations;

NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the Parties hereby agree as follows:

Each of our HIPAA templates are in Microsoft Word (.docx) format for easy editing. Each template is guaranteed to be fully HIPAA & HITECH compliant when properly implemented.