Request a Business Associate Agreement
If your organization is a HIPAA covered entity or business associate and you plan to use New Century Labs to perform services involving PHI on your behalf, you can request a Business Associate Agreement review here.
Not every healthcare relationship requires a BAA. Some disclosures between healthcare providers for treatment, or between a provider and a laboratory for treatment purposes, may not require one. Send us the details and we will review the workflow.
What to include
- Legal name of your organization and any DBA.
- Your organization type, such as provider group, clinic, health plan, business associate, employer, wellness program, or technology vendor.
- Primary legal, compliance, or operations contact.
- Description of the services you want to use and the PHI involved.
- Whether you want to use NCL's BAA template or send your own template for review.
- Desired launch date or deadline.
BAA request form
What happens next
- We review your organization type and intended workflow.
- We confirm whether a BAA appears appropriate for the relationship.
- We exchange the BAA template and any required security or compliance information.
- Once signed, we keep the agreement on file and coordinate launch details.
For urgent BAA questions, contact customerservice@newcenturylabs.com or call (800) 519-2997.