HIPAA Business Associate Agreement

Limits on protected health information for a business associate or a subcontractor.


What this contract contains

Preamble and parties.In the creator you enter each party and which side you are on. Names the agreement and each party.
Permitted use. Names the underlying agreement and limits PHI to those services.
Safeguards. Covers security, breach notice, and subcontractors.
Access, amendment, and accounting. The associate helps answer a person's request for access, an amendment, or an accounting of disclosures.
Records for HHS. Practices, books, and records about the protected health information must be available to the Department of Health and Human Services.
Return or destruction. When the agreement ends, the associate returns or destroys the information it still holds, if that is feasible.
Termination. The covered entity may end the agreement if the associate does not cure a material breach within a reasonable time.
Survival. Limits on information still held, and the duty to make records available to HHS, continue after the agreement ends.
Governing law.Governing law and venue decide which state’s rules apply and where a dispute must be filed, or whether it goes to arbitration instead. In the creator you pick a listed jurisdiction or enter another, then choose court or arbitration so the sample is not locked to a default state. Sets the state law that governs the HIPAA business associate agreement and where disputes must be brought. Choose the jurisdiction in the creator.
General. Covers assignment limits, waiver rules, severability, entire agreement language, notices, and counterpart or electronic-signature execution language.
Signature blocks. Authorized signatory and title lines for each party, ready for wet-ink or e-signature fields.

Frequently asked questions

When should I use a HIPAA business associate agreement?

Use it when a vendor will create, receive, or maintain protected health information for a covered entity, or when a business associate hires a subcontractor who will do the same. A GDPR data processing agreement is a different document.

What does the associate have to do?

Use PHI only to perform the underlying agreement, protect it, report a breach within the time HIPAA requires, and return or destroy it when the work ends.

Can I download this HIPAA business associate agreement template?

Yes. Use Download .docx to get a Word file with placeholders such as [Party A] and [Effective Date]. You can edit it in Word or Google Docs, or create a filled-in version in the free contract creator.

Is the sample legally binding as shown?

No. Placeholder sample text is a starting point. It becomes an agreement for your deal after you fill in the details—manually or in the free contract creator—and the parties sign.

When should I use the free contract creator instead of editing the file?

Use the free contract creator if you want guided choices for the underlying agreement and whether you are the covered entity or a business associate, without hunting through every blank yourself.

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