12/29/2023 0 Comments Hipaa jotform![]() Otherwise limited in this HIPAA BAA, JotForm may use or disclose PHI to perform functions, activities, for the sole purpose of the proper management and administration of Form Hosting Services or services for (or on behalf of) the customer as specified in the Agreement, provided that such use or disclosure would not violate the HIPAA Privacy Rule if done by customer.Ģ.2. JotForm acknowledges and agrees that it will not use or disclose PHI other than as permitted or required by this HIPAA BAA or as required by law. Transmitted for the customer in any manner that would violate HIPAA. JotForm shall not, and shall ensure that its directors, officers, admin users, employees, contractors do not, use or disclose Protected Health Information ("PHI") created, received, maintained, or JotForm and Customer hereby agree to the terms and conditions of this HIPAA BAA in compliance with the The Regulations. Part 160 and 164 Subparts A and C (“Security Rules”), and the Health Information Technology for Economic and Clinical Health Act (“HITECH Act”) contained in Section 13402 of Title XIII of the American Recovery and Reinvestment Act of 2009 (“ARRA”) (all are collectively referred to herein as the “The Regulations”). Parts 160 and 164 Subparts A and E (“Privacy Rules”), the federal security standards contained in 45 C.F.R. Section 1320d-d-9 (“HIPAA”) and any current and future regulations promulgated thereunder, including, without limitation, the federal privacy regulations contained in 45 C.F.R. In accordance with this HIPAA BAA, Customer may disclose to JotForm certain "Protected Health Information" subject to the Health Insurance Portability and Accountability Act of 1996, as codified at 42 U.S.C. This HIPAA BAA was electronically signed by Kelsey Benoit, on behalf of Customer on the Effective Date. ![]() This HIPAA BAA is effective as of Septem(“Effective Date”), which is the date Customer indicated its acceptance of this HIPAA BAA electronically. This HIPAA Business Associate Agreement (“HIPAA BAA”) is made between JotForm, Inc., (“JotForm”) and Choctaw Volunteer Fire Department (“Covered Entity” or “Customer” ) as an agreement to the JotForm Terms of Use (the “Terms of Use”).
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