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 .