BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • June 21st, 2017 • Ohio
Contract Type FiledJune 21st, 2017 JurisdictionThis Business Associate Agreement (“Agreement”) is entered into by ADAMH Board of Franklin County, ("ADAMH") located at 447 East Broad Street, Columbus, Ohio 43215, and ENTITY ("Business Associate") located at ADDRESS. This Agreement is effective on DATE (“Effective Date”).