Common Contracts
1 similar Hipaa Confidentiality Agreement contracts
POLICY STATEMENT HIPAA CONFIDENTIALITY AGREEMENT AND TRAINING ATTESTATION Please sign and return this form once you have read the four page training guide Please note: The following HIPAA CONFIDENTIALITY AGREEMENT AND TRAINING ATTESTATION can be used...Hipaa Confidentiality Agreement • August 1st, 2011
Staff members affiliated with ___________________________________ have access to confidential information, both written and oral, in the course of their employment, affiliation and job responsibilities. It is imperative that this information not be disclosed to any unauthorized individuals to maintain the integrity of the patient information. An unauthorized individual would be any person that is not currently an employee of ____________________________________________ and/or any individual who is an employee of the company but has no business use for such information. Any other disclosures may only occur at the direction of the Privacy Officer ________________ or by patient authorization.
