Business Associate Agreement

We have updated our Business Associate Agreement (“BAA”)  to comply with the modified HIPAA and HITECH Act requirements. Please follow the instructions below to download the BAA and return it to Surescripts, no later than September 1, 2014.

Business Associate Agreement (PDF)
Download this version if you have no changes. Insert your company’s name and state of organization on Page 1, sign Page 7, fill in the “Notices” provision on Page 8, and return the signed BAA to Surescripts via email (gina.guffey@surescripts.com) or to the address listed below, no later than September 1, 2014. We will return a fully executed PDF for your files.

Surescripts, LLC
2800 Crystal Drive, 10th Floor
Arlington, VA 22202
Attn: Gina Guffey, Legal Department

Business Associate Agreement (Microsoft Word)
*Download this version to track changes. Return your redlined version of the BAA to Surescripts for review, no later than September 1, 2014: BusinessAssociateUpdates@surescripts.com

*Please be aware that given the short time left to bring all BAA’s into compliance, Surescripts cannot guarantee that we will be able to review and negotiate changes prior to the September 23rd  deadline.