Confidentiality and Security AgreementConfidentiality and Security Agreement • March 2nd, 2021
Confidentiality and Security AgreementConfidentiality and Security Agreement • October 25th, 2017
Confidentiality and Security AgreementConfidentiality and Security Agreement • October 25th, 2018
CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • October 12th, 2022
As an employee, physician, other healthcare provider, student, volunteer, vendor, contractor, or temporary employee associated with West Virginia University Hospitals, Inc. (WVUH)/West Virginia Medical Corporation (UHA), you may have access to confidential information including protected health information (PHI), business asset data, secret, proprietary, or private information obtained through your association with one or more of these entities. The purpose of this Agreement is to help you understand your personal obligation regarding confidential information.
CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • September 15th, 2021
The CHILEAN NAVY represented by THE DIRECTORATE FOR SUPPLY, duly authorized to act for the purpose hereof, hereinafter referred to as CHILEAN NAVY,
Confidentiality and Security AgreementConfidentiality and Security Agreement • June 7th, 2021
Springhill Medical Center Confidentiality and Security AgreementConfidentiality and Security Agreement • December 21st, 2021
As an employee, student, or volunteer, I understand and agree that I must hold medical and other patient information in confidence. I
CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • September 19th, 2023
The purpose of this Agreement is to help you understand your personal obligation regarding confidential information that you may have access to through your association with the SBH-ASO. Confidential information is valuable and sensitive and is protected by law and by strict SBH-ASO policies. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) and 42 CFR Part 2 require protection of confidential information contained within our information system. Inappropriate disclosure of client data may result in the imposition of fines up to $250,000 and ten years imprisonment per incident.
Provider Confidentiality and Security AgreementConfidentiality and Security Agreement • February 15th, 2016
CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • December 23rd, 2014
Confidentiality and Security AgreementConfidentiality and Security Agreement • November 17th, 2022
As an employee, volunteer, or an individual filling a courtesy appointment at Florida A&M University (FAMU), I provide essential and valuable services. While providing these services, I understand that I may be given or have access to personal, privileged or confidential information regarding employees, vendors, customers, students, parents and/or patients of the University. This information may be on paper, contained in software, visible on screen displays, in computer readable form, disclosed orally or otherwise. Such information requires confidentiality and a commitment of protection and privacy. Described below are examples of the types of confidential information that you may encounter.
Privacy, Confidentiality and Security Agreement ORG004Confidentiality and Security Agreement • June 19th, 2015
This agreement covers all Bass Coast Health Board Members, employees, contractors, volunteers, students and all other persons with involvement with Bass Coast Health.
EXHIBIT C- PROTECTED HEALTH INFORMATION, CONFIDENTIALITY, AND SECURITY AGREEMENTConfidentiality and Security Agreement • August 4th, 2010
Protected Health Information (PHI) includes patient information based on examination, test results, diagnoses, response to treatment, observation, or conversation with the patient. This information is protected and the patient has a right to the confidentiality of his or her patient care information whether this information is in written, electronic, or verbal format. PHI is individually-identifiable information that includes, but is not limited to, patient’s name, account number, birthdate, admission and discharge dates, photographs, and health plan beneficiary number.
PRIVACY, CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • March 28th, 2017
This form is used to ensure staff, students and volunteers understand and agree to abide by Seymour Health’s Privacy and Confidentiality Policies. Please complete in full and forward to Human Resources.
PRIVACY, CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • December 14th, 2017
Confidentiality and Security AgreementConfidentiality and Security Agreement • January 6th, 2015
Confidentiality and Security AgreementConfidentiality and Security Agreement • July 5th, 2013
I, , agree to employ the strictest caution in my work in order to assure that the confidentiality of patient records and information remains secure. I understand that in the performance of my duties as a Cobb or Douglas Board of Health (BOH) employee, I may have access to and become involved in the collection and review of confidential health care information, including personally identifiable and patient care information. Confidential information is any information about an identifiable person or establishment, whether spoken, written or electronic, pertaining to an individual or an individual’s condition. This includes such information as a client’s name, social security number, address, medical, social, financial data and services received. I understand that any information that I am exposed to as a result of my job duties or my work environment is to be held confidential at all times, whether at work, off-duty or even extending after the termination of my employment.
SHANDSConfidentiality and Security Agreement • April 18th, 2002
Shands HealthCare (SHANDS) has a legal and ethical responsibility to safeguard the privacy of all patients and to protect the confidentiality of their personal health information. Additionally, SHANDS must protect the confidentiality of organizational information that may include, but is not limited to, human resources, payroll, fiscal, research, internal reporting, strategic planning, communica- tions, computer systems and management information from any source or in any form including, without limitation, paper, magnetic or optical media, conversations, and film. For the purpose of this Agreement, all such information is referred to as “Confidential and Protected Information.” In the course of my employment / association / affiliation with SHANDS, I understand that I may have access and / or exposure to Confidential and Protected Information.
CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • February 22nd, 2016 • North Carolina
In consideration of my assignment at Allscripts Healthcare, LLC, d/b/a Allscripts (“Allscripts”) I understand and accept the following responsibilities:
ContractConfidentiality and Security Agreement • March 21st, 2024
CONFIDENTIALITY AND SECURITY AGREEMENT FORM Name of clinical student: Address: Telephone Contact No: University/TAFE/School: Clinical Placement Days - From: Total Placement Days: To:Total Placement Hours: Next of Kin - Name: Phone Contact No: Relationship: As a student on placement at UnitingCare Health (UCH) I will act to ensure confidentiality of information, security of property, and maintain efficient and proper use of resources, whether they belong to UCH/the hospital or other people or agencies, including patients that are under the care of UCH. I shall ensure this by: 1 Maintaining complete confidentiality of any information relating to (directly or indirectly) the business and affairs of the Hospital, its patients, its employees, or other people or organisations associated with UCH/hospital activities in accordance to UCH/hospital policy and legislation, including the Privacy Act 1988 and the Privacy Amendment (private sector)Act 2000. This information refers to all informa
CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • March 29th, 2007
As an employee, contractor, volunteer, service provider, or temporary employee of Greater Columbia Behavioral Health (GCBH), you may have access to confidential information including consumer, financial, or business information obtained through your association with GCBH. The purpose of this Agreement is to help you understand your personal obligation regarding confidential information.
Workforce Member Confidentiality and Security AgreementConfidentiality and Security Agreement • November 20th, 2017
Confidentiality and Security AgreementConfidentiality and Security Agreement • May 9th, 2013
Confidentiality and Security AgreementConfidentiality and Security Agreement • August 30th, 2018
Privacy, Confidentiality and Security AgreementConfidentiality and Security Agreement • July 7th, 2010
CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • November 29th, 2010 • Nebraska
WHEREAS, LES and Contractor contemplate that in the performance of the services for which Contractor has been hired, Contractor may have or has access to confidential information belonging to LES; and
CONFIDENTIALITY AND SECURITY AGREEMENTConfidentiality and Security Agreement • May 8th, 2018
This agreement is required to be read and signed by individuals who are approved and granted access to or may have incidental contact with Christiana Care confidential information. Please read all sections; if you have any questions, please ask your supervisor prior to signing or acknowledging that you have read this agreement.
Research Volunteer Program Confidentiality and Security AgreementConfidentiality and Security Agreement • April 11th, 2019
Appendix C: Information Confidentiality and Security AgreementConfidentiality and Security Agreement • January 13th, 2011
UC Hastings College of the Law ("Hastings") regards security and confidentiality of data and information to be of utmost importance. Further, it is the intent of this policy to ensure that confidential information, in any format, is not divulged outside of Hastings without explicit approval to do so by the Chancellor and Dean of the College. As such, the College requires all users of data and information to follow the procedures outlined below:
ContractConfidentiality and Security Agreement • April 13th, 2017
Confidentiality and Security AgreementLife Span Institute at Parsons, University of Kansas 1. I recognize that I will have access to confidential data, which is governed by University of Kansas policy as well as state and federal laws. Examples of confidential data include but are not limited to information pertaining to an individual’s physical or mental health and treatment, an individual’s financial information and other personally identifiable data, such as Social Security Numbers. 2. I recognize that data accessed by me may only be used to conduct the research or service project as delineated by the project director in accordance with university and department or unit policies and procedures. I will not store, use, or access data except as permitted by the official policies and procedures of the university and my department or unit. 3. I recognize disclosure of data is governed by the policies and procedures of the university and my department or unit, as well as state and federa
Confidentiality and Security AgreementConfidentiality and Security Agreement • August 11th, 2009
Shands HealthCare (SHANDS) has a legal and ethical responsibility to safeguard the privacy of all patients and to protect the confidentiality of their personal health information. Additionally, SHANDS must protect the confidentiality of organizational information that may include, but is not limited to, human resources, payroll, fiscal, research, internal reporting, strategic planning, communications, computer systems and management information from any source or in any form including, without limitation, paper, magnetic or optical media, conversations, and film. For the purpose of this Agreement, all such information is referred to as “Confidential and Protected Information.” In the course of my employment / association / affiliation with SHANDS, I understand that I may have access and / or exposure to Confidential and Protected Information.
Confidentiality and Security AgreementConfidentiality and Security Agreement • July 14th, 2015
Confidentiality and Security AgreementConfidentiality and Security Agreement • November 19th, 2012
Privacy, Confidentiality and Security Agreement ORG004Confidentiality and Security Agreement • March 15th, 2021
This agreement covers all Bass Coast Health Board Members, employees, contractors, volunteers, students and all other persons with involvement with Bass Coast Health.
Confidentiality and Security AgreementConfidentiality and Security Agreement • July 28th, 2020
Upon termination, I will immediately return any documents or media containing Confidential Information to the Company.
