INSTITUTIONAL REVIEW BOARD MEMBER CONFIDENTIALITY AGREEMENTMember Confidentiality Agreement • November 27th, 2001
I, (please print), understand that documents and other information which I acquire as an IRB member are provided to me solely for use in fulfilling my responsibilities on the Institutional Review Board (IRB) and are to be kept confidential. Examples of such information are: human subject identifying data or medical information; proprietary information; trade secrets, medical or scientific data; research designs, concepts, discoveries or inventions; or any other information designated as, or reasonably understood to be, confidential. I agree to handle them accordingly.
Committee Member Confidentiality AgreementMember Confidentiality Agreement • February 2nd, 2023
ContractMember Confidentiality Agreement • September 24th, 2019
Staff Member Confidentiality Agreement IMPORTANT: Please read all sections. If you have any questions, please seek clarification before signing.
HOSPITAL STAFF MEMBER CONFIDENTIALITY AGREEMENTMember Confidentiality Agreement • November 18th, 2016
The Children’s Mercy Hospital (“Hospital”) has a legal and ethical responsibility to safeguard the privacy of Confidential Information. Federal and state laws and regulations establish protections to preserve the confidentiality of various medical and personal information and specify that such information may not be disclosed except as authorized by law or the patient or individual. Hospital business information is a corporate asset that requires protection from unauthorized use and disclosure, loss, theft and/or misuse. It is the responsibility of all Hospital Staff to preserve and protect all Confidential Information, as defined in the Hospital Administrative Policy – Confidentiality of Information (incorporated herein by reference).
