Common Contracts

1 similar Health Confidentiality Agreement contracts

MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH CONFIDENTIALITY AGREEMENT (“AGREEMENT”)
Health Confidentiality Agreement • March 12th, 2021

I, ______________________________________________, am an employee, volunteer or affiliate of the Maricopa County Department of Public Health ("MCDPH"). I understand that in the course of my work and experience, I may have access to and learn confidential patient and financial information obtained or maintained in oral, electronic and/or paper form. Examples of such information are medical condition and treatment, finances, social security numbers, phone numbers, addresses, living arrangements, employment, sexual orientation, relations with family members, etc. I also understand that I may have access to confidential information about the business and financial interests of the MCDPH. (All of the above is referred to as "Confidential Information" in this Agreement). I understand that Confidential Information is protected in every form, such as written records and correspondence, oral communications, and computer programs and electronic applications.

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