The HIPAA Business Associate Agreement Template UK is offered in multiple formats, including PDF, Word, and Google Docs, and features customizable and printable examples.
Hipaa Business Associate Agreement Template UK Editable – PrintableSample
HIPAA Business Associate Agreement Template UK 1. Covered Entity Information 2. Business Associate Information 3. Agreement Purpose 4. Definitions 5. Obligations of the Business Associate 6. Permitted Uses and Disclosures 7. Notice of Breach 8. Term and Termination 9. Independent Contractors 10. Confidentiality and Data Security 11. Indemnification 12. Signatures and Agreement 13. Declaration and Signatures
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Examples
[Name of the Covered Entity]
[Entity’s ID]
[Entity’s Address]
[Entity’s Phone]
[Entity’s Email]
[Name of the Business Associate]
[Associate’s ID]
[Associate’s Address]
[Associate’s Phone]
[Associate’s Email]
This Business Associate Agreement (“Agreement”) outlines the obligations of [Name of the Business Associate] in relation to the use and disclosure of Protected Health Information (PHI) as required by the Health Insurance Portability and Accountability Act (HIPAA).
For purposes of this Agreement, the following terms shall have the meanings ascribed to them:
– “Protected Health Information” or “PHI” refers to any information that relates to the health status, provision of healthcare, or payment for healthcare that can be linked to an individual.
– “Covered Entity” means a healthcare provider, health plan, or healthcare clearinghouse that transmits any health information in electronic form in connection with a HIPAA transaction.
The Business Associate agrees to not use or disclose PHI other than as permitted or required by the Agreement or as required by law. The Business Associate shall implement appropriate safeguards to prevent unauthorized use or disclosure of PHI.
The Business Associate may only use or disclose PHI as follows:
– For the purpose of providing the services as described in [Service Description].
– As required by law and for compliance with applicable legal obligations.
This Agreement may be terminated by either party upon [Notice Period, e.g., 30 days] written notice, provided there is a material breach of the Agreement which is not cured within the specified notice period.
The Business Associate agrees to indemnify and hold harmless the Covered Entity from any claims, damages, or losses arising out of the Business Associate’s non-compliance with the terms of this Agreement.
This Agreement shall be governed by and construed in accordance with the laws of [Jurisdiction, e.g., England and Wales].
[Signature of the Covered Entity]
[Name of the Covered Entity]
[Signature of the Business Associate]
[Name of the Business Associate]
[Name of the Covered Entity]
[Entity’s ID]
[Entity’s Address]
[Entity’s Phone]
[Entity’s Email]
[Name of the Business Associate]
[Associate’s ID]
[Associate’s Address]
[Associate’s Phone]
[Associate’s Email]
This Business Associate Agreement establishes the terms under which [Name of the Business Associate] will handle PHI to ensure compliance with HIPAA regulations commencing on [Start Date].
The Business Associate must develop and implement policies and procedures for safeguarding PHI and limiting access to only those employees who need it to perform their job functions.
The Business Associate shall notify the Covered Entity within [Notice Period] of any breach of unsecured PHI as specified by HIPAA regulations.
Upon termination of this Agreement, the Business Associate agrees to return or destroy all PHI received from the Covered Entity, in accordance with applicable law.
The Business Associate shall ensure that any subcontractors to whom PHI is disclosed agree to the same restrictions and conditions that apply to the Business Associate under this Agreement.
The Business Associate agrees to comply with all applicable federal and state laws regarding the privacy and security of PHI, including but not limited to HIPAA and GDPR where applicable.
[Signature of the Covered Entity]
[Name of the Covered Entity]
[Signature of the Business Associate]
[Name of the Business Associate]
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