Business Associate Agreement - Standard by Common Paper

RRoho-RohoUpdated 17 Oct 2025

Using this document

This BAA has 2 parts:

The Key Terms on this Cover Page

The Common Paper BAA Standard Terms Version 1.0 posted at https://commonpaper.com/standards/business-associate-agreement/1.0 which is incorporated by reference.

Any modifications to the BAA Standard Terms should be made on the Cover Page. If there is any inconsistency between the parts of the BAA, the Cover Page will control over the BAA Standard Terms. Capitalized words have the meanings or descriptions given in the Cover Page or Standard Terms.

Key Terms

The key legal terms of this BAA are as follows:

Agreement

This BAA is incorporated into the [insert principal agreement].

Relationship

Provider is a [subcontractor | Business Associate].

Company is a [Business Associate | Covered Entity].

Breach Notification Period

[Drafting note: this time period cannot be more than 60 calendar days]

[ # ] [hours | business days | calendar days] from discovery.

Designated Record Set

[Drafting note: select one and delete the other]

( ) Provider maintains PHI in a Designated Record Set.

( ) Provider does not maintain PHI in a Designated Record Set.

Limitations

[Drafting note: The Standard Terms permit all four activities (Sections 1.7 and 3). Delete the entire section to allow these activities as specified in the Standard Terms. To prohibit or place limits on the extent to which these activities can be done select and specify those that apply.]

Subcontracting:

[ ] Provider will not subcontract.

[ ] Provider will not subcontract unless:

[ ] notice has been provided to Company as specified here: [free text box].

[ ] with Company’s explicit permission as specified here: [free text box].

Offshoring:

[ ] Offshoring of PHI and/or Services is not permitted.

[ ] Offshoring of PHI and/or Services not permitted unless [free text for specific offshoring rights or restrictions].

De-identification:

[ ] Provider will not de-identify PHI.

[ ] Provider will not de-identify PHI unless:

[ ] doing so for the specific purpose of [insert specific purpose(s) such as “generating data analytics for academic research”].

[ ] the following additional requirements for de-identifying PHI have been implemented: [free text box].

Aggregation:

[ ] Provider will not aggregate PHI.

[ ] Provider will not aggregate PHI unless [free text for specific aggregation restrictions].

BAA Effective Date

The date the BAA starts

[ x ] Date of last signature on this Cover Page.

[ ] [Fill in custom Effective Date].

Changes to BAA Standard Terms

Other Changes to BAA Standard Terms

Additional modifications or customizations:

[Fill in]

Provider and Company have not changed the BAA Standard Terms except for the details on the Cover Page above. By signing this Cover Page, each party agrees to enter into this BAA as of the BAA Effective Date.

PROVIDER: [provider official company name]\ COMPANY: [company official company name]

Signature [signature]

Print Name [name]

Title [title]

Notice Address [notice address]

Date

Business Associate Agreement

Business Associate Obligations

This is a preview. The full template is free on GitLaw.

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United States note

This version is drafted for US law generally. Contract, employment and consumer rules vary by state — for example on non-competes and at-will employment. Tell GitLaw which state applies and it adjusts the draft.

Jurisdiction
United States of America
Document info
HTML document. Document created on Tue Jul 15th, 2025. Last updated on Fri Oct 17th, 2025.
This document is public
Licensed under CC BY 4.0 (Attribution).
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