Hipaa Data Use Agreement Sample Contracts
HIPAA Data Use Agreement & Patient RightsHipaa Data Use Agreement • September 12th, 2023
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.
HIPAA DATA USE AGREEMENTHipaa Data Use Agreement • April 27th, 2011
This HIPAA Data Use Agreement (“Agreement”), effective as of _________________ (“Effective Date”), is entered into by and between the Board of Trustees of The University of Alabama for The University of Alabama at Birmingham (UAB), on behalf of the School of Medicine (“Recipient”) and (“Covered Entity”). The purpose of this Agreement is for Covered Entity to furnish Recipient with a Limited Data Set (“LDS”), as defined and, in accord with the HIPAA Regulations.
If you require this document in another format please contact the IRB Chair at irbchair@ung.eduHipaa Data Use Agreement • February 27th, 2017
This agreement is made by and between ______ (NAME OF HOSPITAL/CLINIC WHO HOLDS THE HEALTH INFORMATION) ("Covered Entity”) and _______(NAME OF P.I.) (“Data Recipient").
HIPAA DATA USE AGREEMENTHipaa Data Use Agreement • November 17th, 2022
This HIPAA Data Use Agreement (“Agreement”), effective as of _________________ (“Effective Date”), is entered into by and between the Board of Trustees of The University of Alabama for The University of Alabama at Birmingham (UAB), on behalf of the School of MedicinePediatric Heart Transplant Society Foundation (“Recipient”) and Murdoch Children’s Research Institute of The Royal Children’s Hospital, 50 Flemington Road, Parkville, Victoria 3052 Australia (“Covered Entity”).______________________________________________________________ The purpose of this Agreement is for Covered Entity to furnish Recipient with a Limited Data Set (“LDS”), as defined and, in accord with the HIPAA Regulations.
JOHNS HOPKINS SCHOOL OF PUBLIC HEALTH / JOHNS HOPKINS MEDICINE HIPAA DATA USE AGREEMENTHipaa Data Use Agreement • May 5th, 2020 • Maryland
This Agreement is entered into as of the date specified below, by the Johns Hopkins University Research Administration office on behalf of the PI named above (“Data User”) in favor of the Johns Hopkins HIPAA affiliated covered entity group (“Data Provider”).