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HOME > SUPPORT > BAA > SUBMIT


Business Associate Agreement and Submission

To electronically submit the Business Associate Agreement, complete the requirements in the box below. You will not receive an auto-filled version of the BAA upon completing an electronic submission, however your account will be updated to reflect your acceptance of the BAA.

To print a hard copy of the BAA signed by the HSPS HIPAA Compliance Officer, click on the Business Associate Agreement link below. When the PDF file opens, click the print icon in your browser tool bar. The print icon is usually found in the upper left corner of your browser.


CUSTOMER INFORMATION


Customer ID:
 
Office Zip Code:
 

I have read and accept the Business Associate Agreement *