BUSINESS ASSOCIATE AGREEMENTBusiness Associate Agreement • September 9th, 2013
Contract Type FiledSeptember 9th, 2013This Business Associate Agreement (the “Agreement”) is entered into effective for all purposes as of the day of , 20 by and between GULF COAST DERMATOLOGY, herein known as (“Covered Entity ”) and [NAME OF BUSINESS ASSOCIATE], herein known as (“Business Associate”), each individually a “Party” and collectively shall also be known herein as the “Parties".