HIPAA Business Associate Agreement Template


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

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A Business Associate contract, or business associate agreement, (BAA) is a written arrangement that specifies each party’s responsibilities when it comes to PHI.


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:

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