AFS4K_-_Signed_HITECH_Form.pdf
PDF 777 KB Posted
- Attached to
- Master Agreement AZ|CTR071405
- Contract number
- CTR071405
- Issued by
- Arizona
About this file
This document is a HIPAA Business Associate Agreement between the Arizona Department of Child Safety (ADCS) and A Fresh Start for Kids LLC. The agreement is executed on May 30th, 2024, with the purpose of establishing compliance with HIPAA (Health Insurance Portability and Accountability Act), HITECH Act, and related privacy regulations.
The contract focuses on ensuring the contractor (A Fresh Start for Kids LLC) adheres to HIPAA privacy and security standards when handling protected health information. The agreement includes provisions for amendments to maintain compliance with evolving regulatory requirements and legal standards. The contractor, identified as the Owner/CEO Bobbi Jo Rose Bryan, acknowledges receipt of the agreement and commits to filing a signed copy with the ADCS Procurement Office. While specific service details are not elaborated in the visible section, the document is primarily centered on establishing legal and regulatory compliance for handling sensitive information.
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Text version
DocuSign Envelope ID: 63AB8076-8B35-4487-8978-41A9504C0BA5
Marisa Lucero
30th May 2024
| 2024-05-30T15:06:20-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .