Confidentiality and Use Agreement Sample Contracts

CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • May 5th, 2020
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AFFILIATE – INDIVIDUAL ACCESS REQUEST FORM & CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • September 7th, 2022

This form is required for individuals who are not employees of Swedish Health Services (SHS) or medical staff members of SHS in order to access SHS computer, information and electronic health records systems (“Swedish Systems”).

CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • October 27th, 2014

MyPractice Community (“MPC”) agrees to grant me access to the EHR System Property, subject to the conditions set forth below. I agree to the following provisions:

System Confidentiality and Use Agreement
Confidentiality and Use Agreement • September 22nd, 2017

HMIS is a client information system used to assess the needs of those individuals that utilize social services related to homelessness (“clients”), creates individualized service plans and records the use of housing and services, which communities can use to understand the utilization of services, identify gaps in the local service continuum and develop outcome measurements. Participating agencies and their system users must comply with the HMIS Policies and Procedures. Mid-America Regional Council (MARC) is the HMIS Lead Agency and serves as system administrator for the two Continuum of Care (“CoC”) organizations serving Jackson, Wyandotte and Johnson counties.

CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • March 18th, 2013

grants the above named Practice the ability to permit its employees to access, through the system, certain electronic medical records(including copies and portions thereof) maintained by (hereinafter “Electronic Medical Records”), subject to Practice’s compliance with the terms and conditions set forth below.

CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • October 27th, 2014

MyPractice Community (“MPC”) agrees to grant me access to the EHR System Property, subject to the conditions set forth below. I agree to the following provisions:

AFFILIATE – SYSTEMS ACCESS REQUEST FORM & CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • September 10th, 2014

This form is required for individuals who are not employees of Swedish Health Services (SHS) or medical staff members of SHS in order to access SHS computer, information and electronic health records systems (“Swedish Systems”).

CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • November 9th, 2012 • District of Columbia

This CONFIDENTIALITY AND USE AGREEMENT (“Agreement”) is entered into by Mr. Mark Shaw (“Mr. Shaw”), Senior Consulting Actuary with United Health Actuarial Services and the D.C. Department of Insurance, Securities and Banking (“DISB”).

CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • January 29th, 2014 • District of Columbia

This CONFIDENTIALITY AND USE AGREEMENT (“Agreement”) is entered into by United Health Actuarial Services (“UHAS”) and the D.C. Department of Insurance, Securities and Banking (“DISB”).

System Confidentiality and Use Agreement
Confidentiality and Use Agreement • January 20th, 2021

A Homeless Management Information System (HMIS) is a local information technology system used to collect client-level data and data on the provision of housing and services to homeless individuals and families and persons at risk of homelessness. Participating agencies and their system users must comply with the HMIS Policies and Procedures. Greater Kansas City Coalition to End Homeless is the HMIS Lead Agency and serves as system administrator for Jackson county.

CONFIDENTIALITY AND USE AGREEMENT
Confidentiality and Use Agreement • December 11th, 2015

Georgia Student Finance Authority (“GSFA”) located at 2082 East Exchange Place Tucker, Georgia 30084. "Party” means either GSFA or the User, and “Parties” means both GSFA and the User.

Contract
Confidentiality and Use Agreement • December 19th, 2017

Title: IT - Community Connect Terms and Conditions Policy #: AD9047 Page1 of 8 Department: Health Information Management Sub Dept: Owner: Deb Bakker Issued: 11/6/2012 Next Review: 12/18/2020 Published:

Confidentiality and Use Agreement
Confidentiality and Use Agreement • March 7th, 2012

The West Virginia Department of Health and Human Resources, Office of Epidemiology and Prevention Services has developed a statewide electronic disease surveillance system to be used for the reporting of certain diseases and conditions, unusual health events, and clusters or outbreaks of disease in accordance with the West Virginia Reportable Diseases, Events, and Conditions Legislative Rule, 64CSR7. Patient specific information is only available to users at authorized participating facilities and to West Virginia Office of Epidemiology and Prevention Services staff.

System Confidentiality and Use Agreement
Confidentiality and Use Agreement • February 15th, 2021

A Homeless Management Information System (HMIS) is a local information technology system used to collect client-level data and data on the provision of housing and services to homeless individuals and families and persons at risk of homelessness. Participating agencies and their system users must comply with the HMIS Policies and Procedures. Greater Kansas City Coalition to End Homeless is the HMIS Lead Agency and serves as system administrator for Jackson county.

Confidentiality and Use Agreement
Confidentiality and Use Agreement • September 21st, 2017

The West Virginia Department of Health and Human Resources, Office of Epidemiology and Prevention Services has developed a statewide electronic disease surveillance system to be used for the reporting of certain diseases and conditions, unusual health events, and clusters or outbreaks of disease in accordance with the West Virginia Reportable Diseases, Events, and Conditions Legislative Rule, 64CSR7. Patient specific information is only available to users at authorized participating facilities and to West Virginia Office of Epidemiology and Prevention Services staff.

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