Business Associate Agreement


A business associate agreement is commenced between an organization and an interested associate entity so as to enter into an associate business relationship. This type of agreement contain details of the both the parties and the terms and conditions agreed between them.

Sample Business Associate Agreement:

Business associate agreement Number: 689/ BAA

Date: January 28th, 2011

This business associate agreement is initiated between:

Organization details:

Name: ABC Industries Pvt. Ltd

Contact number: 6970 679 3238

Hereinafter known as the organization party

Associate details:

Name: Alana Timberlake

Contact number: 6893 689 2094

Hereinafter known as Associate Party

Together referred as “both the parties”

Whereas, both the parties are willing to work together by approving the following mentioned covenants.

This agreement is starting from January 29th, 2011 and is terminating on January 29th, 2012.

Term & conditions:

  • The associate party will be paid $ 12000 per month to take care of health insurance portability and accountability.
  • Concerned associate party may use the protected health care information under with the approval of organization party.
  • Any sort of disclosure to protective individual health care information may lead to termination of this agreement.

Acceptance of both the parties:

Organization Party                                      Associate Party:

Joseph Hudson                                        Alana Timberlake

Category: Business Agreements

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