What's your company name?
Use the legal name of your business. If you're signing as an individual, put your full name instead.
Create a HIPAA business associate agreement
Generate a free HIPAA business associate agreement. It limits how protected health information may be used under an existing contract.
You
What type of party are you?
In most cases pick Corporation or LLC if you have a company. Choose Individual if you're signing as yourself.
Will you be signing this agreement?
Choose Yes if you'll sign in the editor yourself. Choose No if someone else on your side will sign.
What's your full name for the signature block?
This is how your name will appear as the signatory for your party.
What's your title?
A simple title like Founder or Owner is fine.
Which country is your address in?
This only changes how we ask for the address. Which law governs the contract is a separate question.
What's your address?
Usually your business address, or your home address if you're signing as an individual.
What's the email for your party's signer?
We'll use this when you send the document so they can complete their signature.
Them
What's their company name?
Use the legal name of their business. If they're an individual, put their full name instead.
What type of party are they?
In most cases this matches how they operate: Corporation, LLC, or Individual.
Who will sign for them?
If you only know one contact, use that name for now. You can update it later.
What's their title?
In most cases this is CEO, Founder, General Counsel, or another authorized role.
Which country is their address in?
This only changes how we ask for the address. Which law governs the contract is a separate question.
What's their address?
Usually their principal business address. Approximate is okay if you don't have every detail yet.
What's their email address?
We'll use this as the counterparty recipient when you send the agreement for signature.
Agreement
Which side are you?
A covered entity is hiring a business associate. A business associate is hiring a subcontractor who will handle the same health information.
What agreement is this attached to?
Name the services or other contract under which health information will be handled.
When should the agreement take effect?
Most agreements start today. Choose a custom date if you need a different effective date.
What is the effective date?
Pick the date the agreement should begin.
Which state's law should govern?
Usually the state where your company is formed or where you do business. Delaware is common for US companies.
Which jurisdiction?
Name the country or region whose law should apply.
Do you require any advanced terms?
Custom dispute language or other health-information terms.
Advanced
How should disputes be resolved?
Litigation means court. Arbitration is private. In most cases litigation is fine unless you prefer arbitration.
Anything else to include?
Optional. Describe it in your own words. AI will draft the legal wording from what you write here.
Preview
What would you like to name the file?
This becomes the downloaded document name. You can change it later if needed.
Contract creator
HIPAA Business Associate Agreement
PHI terms for a covered entity or a downstream subcontractor.
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