Health Information Exchange Agreement Sample Contracts

Health Information Exchange Agreement Private to Private Pilot
Health Information Exchange Agreement • August 3rd, 2020

This Health Information Exchange Agreement (“Agreement”) is made effective this ____ day of _______, 20___ (the “Effective Date”), by and between , a [type of entity] organized under the laws of the State [or Territory] of ______________ and having its principal place of business at _______________, (“____________”); and ______________ , a [type of entity] organized under the laws of the State [or Territory] of ______________ and having its principal place of business at ______________ (“_____________”) (each, a “Participant” and together, “Participants”).

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Identifiable information in this report or presentation is protected by federal law, section 924(c) of the Public Health Service Act, 42 USC. § 299c-3(c). Any confidential identifiable information in this report or presentation that is knowingly...
Health Information Exchange Agreement • September 17th, 2020

This agreement is designed to facilitate secure, electronic exchange of immunization records between insert state A1 and insert state B, using each state’s computerized registry.

Appendix D. AIRA Version of Model IOA Public Entity Data Sharing Agreement
Health Information Exchange Agreement • October 23rd, 2020

This agreement is designed to facilitate secure, electronic exchange of immunization records between and among Insert Participant Names, using each agency’s computerized Immunization Information System (IIS).

HEALTH INFORMATION EXCHANGE AGREEMENT
Health Information Exchange Agreement • May 5th, 2020

This agreement is designed to facilitate secure, electronic exchange of immunization records between and among Insert Participant Names, using each agency’s computerized Immunization Information System (IIS).

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