
Business Associate Agreement (Common Paper Standard)
A HIPAA business associate agreement between a covered entity and a vendor that handles protected health information. Key terms set the effective date, breach notification period and any limitations.
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Instructions for filling out Business Associate Agreement (Common Paper Standard)
This template is used for official filing and documentation. Below are detailed instructions for completing, requirement details, and submission rules.
Who needs to fill out this document?
This form is designed for use by legal entities, individuals, or authorized representatives in the following cases:
- Healthcare providers and plans engaging vendors.
- Software vendors serving covered entities.
- Compliance officers collecting vendor BAAs.
What you will need before starting
Before filling out the interactive form, prepare the following details and documents:
Step-by-step filling process
- Name the parties: Complete the parties and main agreement in the Key Terms table.
- Set the breach notice period: Enter the number of days for reporting a breach.
- Add limitations: List restrictions that go beyond the standard terms.
- Sign: Both parties sign the signature block.
Frequently Asked Questions (FAQ)
Is this the same as the General Legal BAA?
No. It is a separate, independently written agreement with its own structure. Either may suit you; compare them with your counsel.
Who must have a BAA?
Under HIPAA, covered entities and their business associates need one with each vendor that handles PHI for them.
Is this legal advice?
No. The author publishes it for general reference, not as advice on your situation. Have a qualified lawyer review it before you sign, especially if you operate outside the United States.
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