JOTFORM HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • July 22nd, 2024
Contract Type FiledJuly 22nd, 2024This HIPAA Business Associate Agreement (“HIPAA BAA”) is made between Jotform, Inc., (“Jotform”) and West Branch Drug and Alcohol Abuse Commission (“Covered Entity” or “Customer” ) as an agreement to the Jotform Terms of Use (the “Terms of Use”). This HIPAA BAA is effective as of April 9, 2021 (“Effective Date”), which is the date Customer indicated its acceptance of this HIPAA BAA electronically. This HIPAA BAA was electronically signed by Shea Madden, Executive Director on behalf of Customer on the Effective Date.
JOTFORM HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • January 23rd, 2023
Contract Type FiledJanuary 23rd, 2023This HIPAA Business Associate Agreement (“HIPAA BAA”) is made between Jotform, Inc., (“Jotform”) and {YourCompanyName} (“Covered Entity” or “Customer”) as an agreement to the Jotform Terms of Use (the “Terms of Use”). This HIPAA BAA is effective as of
JOTFORM HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • December 20th, 2021
Contract Type FiledDecember 20th, 2021This HIPAA Business Associate Agreement (“HIPAA BAA”) is made between Jotform, Inc., (“Jotform”) and {YourCompanyName} (“Covered Entity” or “Customer”) as an agreement to the Jotform Terms of Use (the “Terms of Use”). This HIPAA BAA is effective as of
JOTFORM HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • October 5th, 2021
Contract Type FiledOctober 5th, 2021This HIPAA Business Associate Agreement (“HIPAA BAA”) is made between Jotform, Inc., (“Jotform”) and {YourCompanyName} (“Covered Entity” or “Customer”) as an agreement to the Jotform Terms of Use (the “Terms of Use”). This HIPAA BAA is effective as of