Access and Confidentiality Agreement Sample Contracts

YORhub Frameworks
Access and Confidentiality Agreement • April 20th, 2021

entering into this Access and Confidentiality Agreement with the Council, governing the terms and conditions upon which access is available to the Frameworks; and

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Access and Confidentiality/Privilege Agreement/Medical Provider
Access and Confidentiality Agreement • May 12th, 2020

As a health care provider, you are legally required by 18 VSA § 1129(a) to report to the Department of Health all data regarding immunizations of adults and children within seven days of the immunization in a form required by the Department.

iSYSTOC ACCESS AND CONFIDENTIALITY AGREEMENT - PAGE # 1 of 2
Access and Confidentiality Agreement • October 22nd, 2013

As a customer of INTERMOUNTAIN HEALTHCARE WorkMed (”WorkMed”) using iSYSTOC, Company’s employees have access to certain confidential information, which includes information about injured patients, substance abuse screening results for employees who work for or have applied , Company, and other similar information (hereinafter, “confidential information”). The purpose of this agreement is to, among other things, help Company and its employees understand their responsibilities regarding safeguarding this confidential information, and to confirm and obtain Company’s agreement to protect this confidential information from unauthorized disclosures

ACCESS AND CONFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • April 8th, 2010

s a member of the University of Missouri Health Care (MUHC) workforce you may have access to what this agreement refers to as "confidential information." This agreement will

Access and Confidentiality Agreement
Access and Confidentiality Agreement • March 8th, 2016

As a physician/employee/volunteer/student with access to medical images and reports from the Cascade Medical Imaging, LLC (CMI) PACS network you will have access to what this agreement refers to as "confidential information." The purpose of this agreement is to help you understand your duty regarding confidential information.

Vermont Department of Health
Access and Confidentiality Agreement • January 6th, 2012

In Vermont, the licensed health care professional “last in attendance upon a deceased person during his last illness” bears the primary responsibility for completing a death certificate within 24 hours of the death “in [a] form prescribed by the commissioner of health”. For the purpose of certifying a death, a licensed health care professional is defined as “a physician, a physician assistant, or an advanced practice registered nurse.” However, with your consent, the licensed health care professional may delegate to you the responsibility of gathering data for and filling out all items except the medical certification of cause of death. (18 VSA § 5202, 18 VSA § 5001)

Consent to Participate and Waiver of Liability
Access and Confidentiality Agreement • April 4th, 2014

Participants are encouraged to participate in this weight loss and/or physical activity program safely. As with any weight loss and/or physical activity program, there are risks, including but not limited to increased heart stress and the chance of musculoskeletal injuries. In volunteering to participate in this weight loss and/or physical activity opportunity, you agree that, to your knowledge, you have no limiting physical conditions, eating disorder or disability that would prohibit a weight loss and/or physical activity program.

Access and Confidentiality Agreement
Access and Confidentiality Agreement • January 27th, 2005

This document is confirmation to St. John’s Hospital that I am fully aware of the implications of access to the computer systems of the hospital and the confidentiality of the information to which I have access. I acknowledge that the data and/or information to be accessed will be patient medical record and health information that is confidential under law. I agree to maintain all such information in strict compliance with all applicable laws.

Access and Confidentiality/Privilege Agreement/ School Administrator
Access and Confidentiality Agreement • May 12th, 2020

As a health care provider, you are legally required by 18 VSA § 1129(a) to report to the Department of Health all data regarding immunizations of adults and children within seven days of the immunization in a form required by the Department.

ACCESS AND CONFIDENTIALITY AGREEMENT (Staff-Volunteer-Student)
Access and Confidentiality Agreement • May 16th, 2006

As a staff member, volunteer, or student at the University of Nevada, Las Vegas (UNLV) and the UNLV Alumni Association (Association) you may have access to what this agreement refers to as "confidential information." This agreement will help you understand your responsibilities regarding access and protection of confidential information.

Contract
Access and Confidentiality Agreement • June 3rd, 2019

Access and Confidentiality/Culture of Yes Agreement Definitions1. MUHC – Shall refer to University of Missouri Health Care.2. Member – Shall refer to staff, volunteers, students, agency staff, physicians, contract staff, job shadowers, observers, and vendors that are affiliated with the University of Missouri Health Care (MUHC).3. Employment – Shall refer to any MUHC Hospital appointment granted to the defined member. As a member of MUHC, you may have access to what this agreement refers to as "confidential information." This agreement will help you understand your responsibilities regarding access to and protection of confidential information. Confidential information includes patient/staff/volunteer/student information, financial information, other information relating to MUHC, its affiliates, or other parties with whom MUHC shares an electronic record, and information proprietary to other companies or persons. You may learn of or have access to some or all of this confidential inf

Access and Confidentiality Agreement
Access and Confidentiality Agreement • November 13th, 2020

As an Employee/volunteer/student with privileges at the Alzheimer Society of PEI, you may have access to what this agreement refers to as “confidential information.” The purpose of this agreement is to help you understand your duty regarding confidential information.

Vermont Department of Health
Access and Confidentiality Agreement • December 21st, 2015

In Vermont, the physician “last in attendance upon a deceased person during his last illness” bears the primary responsibility for completing a death certificate within 24 hours of the death “in [a] form prescribed by the commissioner of health”. However, with the consent of a funeral director the physician may delegate to the funeral director the responsibility of gathering data for and filling out all items except the medical certification of cause of death. (18 VSA § 5202, 18 VSA § 5001)

ACCESS AND CONFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • June 8th, 2012
ACCESS AND CONFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • December 7th, 2017
ACCESS AND CONFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • October 12th, 2020 • Pennsylvania
ACCESS AND CONFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • December 7th, 2017
HIPAA PATIENT CONFIDENTIALITY CERTIFICATE
Access and Confidentiality Agreement • January 2nd, 2015

As an Agency employee with privileges at JemiSun Healthcare Services, INC, you may have access to what this agreement refers to as “confidential information.” The purpose of this agreement is to help you understand your duty regarding confidential information.

ACCESS AND CONFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • October 9th, 2014

As a provisional volunteer at University of Missouri Health Care (MUHC) you may have access to what this agreement refers to as "confidential information." This agreement will help you understand your responsibilities regarding access and protection of confidential information.

Access and Confidentiality Agreement
Access and Confidentiality Agreement • May 5th, 2020

As a condition of my continued internship with Portneuf Medical Center (PMC) and in consideration of my access to confidential information, I agree with and to the following terms of the Access and Confidentiality Agreement:

ACCESS AND CONFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • May 10th, 2012

As a volunteer of White Pine County you may have access to what this agreement refers to as “confidential information.” The purpose of this agreement is to help you understand your duty regarding confidential information.

Ed Stevenson RN Alicia Stevenson nursels@pld.com
Access and Confidentiality Agreement • August 26th, 2012
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To obtain a user name and password, return a signed copy of this form to: Immunization Registry, Vermont Dept of Health, 108 Cherry Street, PO Box 70, Burlington VT 05402. Questions: call (888) 688-4667.
Access and Confidentiality Agreement • September 10th, 2014

As a health care provider, you are legally required by 18 VSA § 1129(a) to report to the Department of Health all data regarding immunizations of adults and children within seven days of the immunization in a form required by the Department.

University of Missouri Access and Confidentiality Agreement
Access and Confidentiality Agreement • April 4th, 2014

As a faculty or staff member, consultant, volunteer or student at the University of Missouri you may learn of, or have access to, confidential information. This agreement will help you understand what confidential information is and what your responsibilities are.

ACCESS AND COFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • April 29th, 2021

As a member of the University of Missouri Health Care (MUHC) workforce you may have access to what this agreement refers to as “confidential information.” This agreement will help you understand your responsibilities regarding access and protection of confidential information.

Access and Confidentiality Agreement for Employees, Volunteers and Students
Access and Confidentiality Agreement • November 7th, 2020

As an employee/volunteer/student with privileges at [Practice Name], you may have access to what this agreement refers to as "confidential information." The purpose of this agreement is to help you understand your duty regarding confidential information.

Access and Confidentiality Agreement
Access and Confidentiality Agreement • December 14th, 2015

As a condition of my intern/volunteer work with Bello Machre and in consideration of my access to confidential information, I agree with and to the following terms of the Access and Confidentiality Agreement:

Access and Confidentiality Agreement for Employees, Volunteers and Students
Access and Confidentiality Agreement • August 2nd, 2021

As an employee/volunteer/student with privileges at [Practice Name], you may have access to what this agreement refers to as "confidential information." The purpose of this agreement is to help you understand your duty regarding confidential information.

ACCESS AND CONFIDENTIALITY AGREEMENT
Access and Confidentiality Agreement • February 28th, 2014

As an employee of MAS MEDICAL STAFFING you may have access to what this agreement refers to as "confidential information." This agreement will help you to understand your responsibilities regarding access and protection of confidential information.

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