HIPPA_Form_Signature_Page_NCA.pdf

PDF 400 KB Posted

Attached to
AZ|CTR079192
Contract number
CTR079192
Issued by
Arizona

About this file

This document is a HIPAA Business Associate Agreement between Nightlight Christian Adoptions and the Arizona Department of Child Safety (ADCS). The contract is dated October 21, 2025, and focuses on establishing compliance with HIPAA (Health Insurance Portability and Accountability Act), HITECH Act, and related privacy regulations for handling sensitive information.

The agreement outlines mutual responsibilities for maintaining privacy standards, with provisions for amendments to ensure ongoing compliance with regulatory changes. The contractor, Nightlight Christian Adoptions, is represented by an individual with the title of VP Domestic Adoption, and the document is signed by Shannon Williams from the ADCS Procurement Office. The contract emphasizes the importance of protecting privacy and security of information, with specific clauses allowing for interpretation and modification to meet evolving legal and regulatory requirements.

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Other files

File Type Posted
Price_Sheet_NCA.doc DOC document
CI_22-007_Out_of_State_Services_EXP_10-25-2026.pdf PDF
COI_Arizona_DOCS.pdf PDF
AZ_Contract_Signature_Page_NCA-fully_executed.pdf PDF

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Text version

21st October 25

Shannon Williams

File details come from the government source that posted it. Updated .