For corporate and clinical partners. Template — valid when countersigned by Labs & Health.
This Business Associate Agreement ("Agreement") is entered into between Labs and Health of Miami LLC ("Business Associate") and the organization identified below ("Covered Entity") as of the date of last signature.
Covered Entity has engaged Business Associate to provide mobile phlebotomy and specimen collection services. In connection with these services, Business Associate may create, receive, maintain, or transmit Protected Health Information ("PHI") on behalf of Covered Entity. This Agreement governs the parties' obligations under the Health Insurance Portability and Accountability Act of 1996, as amended by the HITECH Act and implementing regulations (collectively, "HIPAA").
Business Associate will implement administrative, physical, and technical safeguards that reasonably protect the confidentiality, integrity, and availability of PHI, including:
Business Associate will ensure that any subcontractor that creates, receives, maintains, or transmits PHI on its behalf agrees in writing to the same restrictions and conditions that apply to Business Associate under this Agreement.
Business Associate will report any use or disclosure of PHI not permitted by this Agreement, including any breach of unsecured PHI, to Covered Entity without unreasonable delay and in no case later than sixty (60) days after discovery.
At Covered Entity's request, Business Associate will make available PHI for access, amendment, and accounting of disclosures as required under HIPAA.
This Agreement is effective on the date of last signature and remains in effect until terminated. Either party may terminate this Agreement for material breach that is not cured within thirty (30) days of written notice. Upon termination, Business Associate will return or destroy all PHI received from Covered Entity, if feasible. If return or destruction is not feasible, the protections of this Agreement will extend to retained PHI.
Business Associate
Labs and Health of Miami LLC
By: ______________________________
Name: ____________________________
Title: _____________________________
Date: _____________________________
Covered Entity
_________________________________
By: ______________________________
Name: ____________________________
Title: _____________________________
Date: _____________________________
This template is provided for convenience. It does not constitute legal advice. Covered Entities should review with their own counsel before signing.