CIMplicity® Business Associates AgreementBusiness Associate Agreement • January 10th, 2020
Contract Type FiledJanuary 10th, 2020____________________[entity name] medical practice (“Provider”) and covered entity, (as defined in 45 CFR § 160.103) authorizes Careform, LLC (“Careform”) to act as its business associate (as defined in 45 CFR § 160.103) and to use, disclose, and receive any protected health information (as defined in 45 CFR § 160.103) (“PHI”) for the purposes described in this business associate agreement (“Agreement”).