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Secure Email,
Web and Form Solutions
Phone: 800-441-6612

LuxSci and its Vendors

As required by HIPAA, LuxSci has explicit Business Associate Agreements in place with all of its vendors that could come into contact with your ePHI. They include:

LuxSci and its Customers

LuxSci customers with HIPAA accounts are required to read, agree to, sign, and return LuxSci's HIPAA Business Associate Agreement and Account Restrictions Agreement. This version is updated with the provisions required by the Omnibus Final Rule.

Customers with HIPAA accounts can read these agreements and fill out the form to signify their agreement to these terms of service and to include their written signature, captured using LuxSci's Ink Signature technology.

Who should sign? To ensure HIPAA compliance, an officer of your organization with legal right to enter into a HIPAA Business Associate Agreement should be the one to sign. If you have someone without sufficient authority sign (e.g. some webmaster), then you may be failing to properly meet your obligations under HIPAA.

Agreements: PDF versions of the agreements for review:

Customer Signature*     clear area Date:

Draw your signature in the box, above. On a desktop or laptop computer, you can use a mouse (click and drag to draw). On a touch screen device, you can use a stylus or your finger.

Customer Name* Customer Organization
Customer Title Account or Order Number*

Starts under $18/mo

"I just wanted to say thanks to all the great support and sales people I've dealt with from LuxSci. Our website launched this weekend nearly flawlessly and had great help from your support department. Keep up the good work!"

—Bryan Patrick, Website Administrator, CentrePointe Counseling, Inc.

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