APPENDIX A

Sample Business Associate Agreement

image Note  The following business associate agreement is boilerplate language provided by the United States Department of Health and Human Services.1 It is in the public domain and may be used/modified by your organization as you deem appropriate.

Sample Business Associate Agreement Provisions

Introduction

A “business associate” is a person or entity, other than a member of the workforce of a covered entity, who performs functions or activities on behalf of, or provides certain services to, a covered entity that involve access by the business associate to protected health information. A “business associate” ...

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