Update HIPAA Business Associate Contact Information

Please complete the form below to update your company's contact information found on UPMC Business Associate Listing (PDF).

Company Name Tax ID Number Email Address Phone Number Address 1 Address 2 City State Zip or Mailing Code Country Check the box if you or your company, as applicable, either (a) does not have access to UPMC patient information, or (b) is not a Business Associate as defined in the Health Insurance Portability and Accountability Act of 1996 and is therefore not a UPMC

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