Common Contracts

HIPAA Business Associate Agreement

Business Associate Agreement • May 1st, 2020 • New York

• Contract Type
  Business Associate Agreement
• Filed
  May 1st, 2020
• Jurisdiction
  New York

This Business Associate Agreement (“Agreement”) is effective as of [INSERT DATE] between [INSERT NAME OF BUSINESS ASSOCIATE], a [INSERT TYPE OF BUSINESS] with its principal place of business at [INSERT STREET ADDRESS, CITY, STATE, ZIP CODE] (“Business Associate”) and [INSERT NAME OF PRACTICE PLAN] (“Covered Entity”), a New York not-for-profit corporation with its principal place of business at [INSERT STREET ADDRESS], Buffalo, New York [INSERT ZIP CODE].