Common Contracts

1 similar Business Associate Agreement contracts

LCSW Name and Address] Business Associate Amendment to Agreement
Business Associate Agreement • December 5th, 2020

By agreement of the parties, _________________________________________ (“Covered Entity”) and ________________________________(“Business Associate”), whose signatures have been affixed below, the ___________________________________ Agreement for __________________________ Services, dated, 20__, (“Agreement”), is hereby amended as set forth herein (“Amendment”). This Amendment is effective as of, 20__ or such earlier date as this Amendment is fully signed by the parties (“Effective Date”).

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