Business Associate Agreement
This Business Associate Agreement (“Agreement”) is entered into effective June 23, 2021 (the “Effective Date”), by and between (“Covered Entity”) and Grahek Enterprises, LLC d/b/a Grahek Technology (“Business Associate”).
WHEREAS Covered Entity is a (hospital, medical practice, licensed physician) that has hired Business Associate to provide technology services (“Services”) for Covered Entity. (Covered Entity and Business Associate are at times referred to herein collectively as the “Parties” and individually, as a “Party”); and
WHEREAS in the course of providing Services for Covered Entity, Business Associate will have access to individually identifiable health information (“PHI”) that is protected from use or disclosure under the Privacy Standards of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA Privacy Standards”); and
WHEREAS Covered Entity is required by the HIPAA Privacy Standards to enter into this Agreement, and to keep this Agreement in full force and effect to disclose and/or grant access to PHI in connection with the performance of the Services; and
WHEREAS the Parties intend this Agreement to comply with the provisions of 45 C.F.R. § 164.504(e).
NOW, THEREFORE, in consideration of the covenants contained herein and other good and valuable consideration, the sufficiency of which is hereby acknowledged, Business Associate and Covered Entity hereby agree as follows:
IN WITNESS WHEREOF, the undersigned have executed this Agreement as of the day and year first written above.
Grahek (Business Associate):
Dated this June 23, 2021
Grahek Enterprises, L.L.C D/B/A Grahek Technology
By: Chad Grahek
Client (Covered Entity):
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Document Name: Business Associate Agreement
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