Effective Date: _____________
This Business Associate Agreement ("Agreement") is entered into by and between Elderwise.ai ("Covered Entity") and _____________ ("Business Associate") as of the date last signed below (the "Effective Date").
Conditions used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in the HIPAA Rules.
Business Associate agrees to:
Business Associate may use or disclose PHI only as follows:
Business Associate shall notify Covered Entity without unreasonable delay and in no case later than 60 days after discovery of a Breach of Unsecured PHI. Such notification shall include:
Covered Entity:
Elderwise.ai
Signature
Business Associate:
Signature