Common Contracts
2 similar Hipaa Business Associate Agreement contracts
JOTFORM HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • October 4th, 2020
This 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 {AgreementDate} (“Effective Date”), which is the date Customer indicated its acceptance of this HIPAA BAA electronically. This HIPAA BAA was electronically signed by {YourFullName}, {YourRole} on behalf of Customer on the Effective Date.
JOTFORM HIPAA BUSINESS ASSOCIATE AGREEMENTHipaa Business Associate Agreement • September 4th, 2019
This HIPAA Business Associate Agreement (“HIPAA BAA”) is made between JotForm, Inc., (“JotForm”) and NorthStar Psychological + Consultation Services, LLC (“Covered Entity” or “Customer” ) as an agreement to the JotForm Terms of Use (the “Terms of Use”). This HIPAA BAA is effective as of September 4, 2019 (“Effective Date”), which is the date Customer indicated its acceptance of this HIPAA BAA electronically. This HIPAA BAA was electronically signed by Matthew Grant, Clinical Psychologist/Owner on behalf of Customer on the Effective Date.
