Common Contracts

HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT PROVIDER AGREEMENT

Business Associate Agreement • November 17th, 2021 • Minnesota

• Contract Type
  Business Associate Agreement
• Filed
  November 17th, 2021
• Jurisdiction
  Minnesota

This Agreement is between the COUNTY OF HENNEPIN, STATE OF MINNESOTA ("COUNTY"), on behalf of the Hennepin County Human Services and Public Health Department, A-2300 Government Center, Minneapolis, Minnesota 55487 ("DEPARTMENT" or "HSPHD"), and APEX Provider Name, What address did the provider provide? Provide the full address with no abbreviations. ("PROVIDER").