Business Associate Agreement
Request Form
A Business Associate Agreement (BAA) is required under HIPAA when sharing Protected Health Information (PHI) with a vendor. CriteriaIQ provides a BAA to all Enterprise plan customers. Complete the form below and we will send your BAA within 1 business day.
A Business Associate Agreement is a HIPAA-required contract between a covered entity (your facility) and a business associate (CriteriaIQ) that defines how Protected Health Information is handled, protected, and reported.
Any behavioral health treatment facility using CriteriaIQ to analyze patient chart data containing PHI is considered a covered entity under HIPAA and requires a signed BAA before using the service with real patient data.
Once you submit this form, we will review your request and send a completed BAA to your email within 1 business day. Enterprise plan customers receive priority processing.
- ✓Signed BAA provided within 1 business day
- ✓Up to 15 seats at flat facility rate
- ✓All 19 analysis buttons — every framework & LOC
- ✓Facility admin dashboard
- ✓Priority support from Steven Cavan directly