What information is required for the 'Title' section of the Healthsource Chiropractic amendment?
Healthsource_Chiropractic Franchise · 2025 FDDAnswer from 2025 FDD Document
h shall be deemed to constitute one and the same instrument, and each counterpart shall be deemed an original.
-
- Opportunity to Seek Independent Advice. The Parties recognize that this Agreement is an important document that affects their legal rights. For this reason, the Parties may wish to seek independent legal advice before accepting the terms stated herein. The undersigned Parties acknowledge that they have had an opportunity to seek such independent legal advice. The Parties each acknowledge that such Party has read and understand the provisions contained herein and acknowledge receipt of a copy of this Agreement.
[Signature Page Follows]
IN WITNESS WHEREOF, the Parties hereto affix their signatures and execute this Agreement as of the day and year first above written.
Error! Unknown document property name. an Ohio limited liability company Its: Its: OWNERS: ASSIGNEE: -and- , Individually and on behalf of any entities or persons that may own, operate or have an interest in the Franchise
EXHIBIT J
SUPPLEMENTAL AGREEMENTS
(INCLUDING HIPAA BUSINESS ASSOCIATE AGREEMENT)
I. HIPAA Business Associate Agreement.
This Business Associate Agreement (this "Agreement") is entered into effect as of ___________________, 20___ by and among HealthSource Chiropractic, LLC and the undersigned franchisee in order to comply with 45 C.F.R. 164.504(e), governing protected health information ("PHI") and business associates under the Health Insurance Portability and Accountability Act of 1996 (P.L. 104- 191), 42 U.S.C.
Source: Item 23 — Receipts (FDD pages 77–282)
What This Means (2025 FDD)
According to HealthSource Chiropractic's 2025 Franchise Disclosure Document, Exhibit J provides a sample of supplemental agreements, including a HIPAA Business Associate Agreement. The agreement's title includes the phrase "SUPPLEMENTAL AGREEMENTS (INCLUDING HIPAA BUSINESS ASSOCIATE AGREEMENT)".
The agreement is effective as of a specified date in 20___ and is made by and between HealthSource Chiropractic, LLC, and the franchisee. This agreement aims to comply with regulations under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information for Economic and Clinical Health Act, as incorporated in the American Recovery and Reinvestment Act of 2009 (the "HITECH Act").
The agreement defines terms such as "Breach," "Data Aggregation," "Designated Record Set," and others, aligning with the meanings provided in the HIPAA Rules. This ensures both HealthSource Chiropractic and its franchisees adhere to the necessary legal and regulatory standards regarding protected health information.