Common Contracts

3 similar Business Associate Agreement contracts

F-00759 Page 5
Business Associate Agreement • May 5th, 2020 • Wisconsin

This Business Associate Agreement is incorporated into the Underlying Contract known as and is made between the Wisconsin Department of Health Services, (“Covered Entity”), and the (“Business Associate”), collectively the “Parties.” This Agreement is specific to those services, activities, or functions performed by the Business Associate on behalf of the Covered Entity when such services, activities, or functions are covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including all pertinent regulations (45 CFR Parts 160 and 164) issued by the U.S. Department of Health and Human Services. Services, activities, or functions covered by this Agreement include, but are not limited to:

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F-00759 Page 2
Business Associate Agreement • May 5th, 2020 • Wisconsin

This Business Associate Agreement is incorporated into the Underlying Contract known as and is made between the Wisconsin Department of Health Services, (“Covered Entity”), and the (“Business Associate”), collectively the “Parties.” This Agreement is specific to those services, activities, or functions performed by the Business Associate on behalf of the Covered Entity when such services, activities, or functions are covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including all pertinent regulations (45 CFR Parts 160 and 164) issued by the U.S. Department of Health and Human Services. Services, activities, or functions covered by this Agreement include, but are not limited to:

BUSINESS ASSOCIATE AGREEMENT
Business Associate Agreement • September 28th, 2015

This Business Associate Agreement is incorporated into the Underlying Contract known as (Purchase of Services Contract # Statement of work, etc.) and is made between Shawano County (“Covered Entity”), and the (“Business Associate”), collectively the “Parties.”

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