Health Confidentiality Agreement Sample Contracts

Mackenzie Health Confidentiality Agreement
Health Confidentiality Agreement • December 11th, 2020

Health: (for example: employee, clinician, physician, allied health, volunteer, researcher, student, consultant, vendor, contractor)

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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.

CLARK COUNTY PUBLIC HEALTH CONFIDENTIALITY AGREEMENT & STATEMENT
Health Confidentiality Agreement • January 20th, 2021

The purpose of this agreement is to ensure that Clark County Public Health, its workforce, and guests comply with all Washington state and federal laws regarding privacy, security, and confidentiality of protected health information (PHI).

Tidelands Health Confidentiality Agreement
Health Confidentiality Agreement • April 15th, 2015

In consideration of my access to records maintained at Tidelands Health (GHS), whether in paper or electronic form, I agree to be bound by the following terms and conditions during my employment at Tidelands Health.

UW Health CONFIDENTIALITY AGREEMENT & RELEASE OF LIABILITY
Health Confidentiality Agreement • January 31st, 2014
Mackenzie Health Confidentiality Agreement
Health Confidentiality Agreement • February 20th, 2020

(for example: employee, clinician, physician, allied health, volunteer, researcher, student, consultant, vendor, contractor)

Hall Green Health Confidentiality Agreement
Health Confidentiality Agreement • December 29th, 2023

In the course of your employment or associated work with the practice, you may have access to, see or hear confidential information concerning the medical or personal affairs of patients, staff or associated healthcare professionals. Unless acting on the instructions of an authorised officer within the practice, on no account should such information be divulged or discussed except in the

OSS Health Confidentiality Agreement
Health Confidentiality Agreement • June 13th, 2019

Pursuant to the Privacy provisions of the Health Insurance Portability and Accountability Act of 1996 (45 CFR PARTS 160 AND 164) and applicable state laws, OSS Health, its shareholders, officers, Executive Board, physicians, employees, contract employees, medical/nursing/allied health students, community members, and authorized observers are responsible for ensuring the privacy of individually identifiable and protected health information.

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