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Derived from the HIPAA Omnibus Final Rule released on January 17, 2013, this Business Associate Agreement template can be downloaded free of charge and modified for your organization.  The template is fully annotated to assist you in tailoring the agreement for your organization.

This document includes sample Business Associate agreement provisions to help covered entities and Business Associates more easily comply with the Business Associate contract requirements.  While these sample provisions are written for the purposes of the contract between a Covered Entity and its Business Associate, the language may be adapted for purposes of the contract between a Business Associate and subcontractor.

Free Business Associate Agreement Template