Privacy and Security Agreement Sample Contracts

2019 PRIVACY AND SECURITY AGREEMENT
Privacy and Security Agreement • May 7th, 2020
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TO: ALL COUNTY WELFARE DIRECTORS SUBJECT: 2019 CDSS PRIVACY AND SECURITY AGREEMENT (PSA)
Privacy and Security Agreement • October 22nd, 2021

The purpose of this All County Letter (ACL) is to notify each County Department/Agency of the 2019 California Department of Social Services (CDSS) Privacy and Security Agreement (PSA) and to provide each County Department/Agency with instructions for returning signed agreements to CDSS within ninety (90) days of this ACL. This letter supersedes ACL No. 16-100. The purpose of the 2019 CDSS PSA between CDSS and each County Department/Agency is to ensure the security and privacy of Personally Identifiable Information (PII) contained in the Medi-Cal Eligibility Data System (MEDS), the Applicant Income and Eligibility Verification System (IEVS), and in data received from the Social Security Administration (SSA) and other sources. Because each County Department/Agency has access to the SSA provided information, the SSA requires that CDSS enter into individual agreements with each County Department/Agency to safeguard this information. The terms of this 2019 CDSS PSA are similar to those of t

Privacy and Security Agreement for all users of Pacific Radiology PACS, RIS, Inteleviewer, WebComrad, Referring Practitioners’ Portal and VPN
Privacy and Security Agreement • March 1st, 2017

Health practitioners (and sometimes their immediate support staff) need to view patients’ medical imaging records and other Pacific Radiology information to facilitate the care they provide. Every individual who needs access to patient information held in Pacific Radiology’s information systems must complete this form.

BloodPAC CONSORTIUM PRIVACY AND SECURITY AGREEMENT
Privacy and Security Agreement • January 10th, 2023

WHEREAS, the mission of the BloodPAC Consortium (BloodPAC) includes developing, managing and operating data commons and cloud computing infrastructure to support scientific, medical, health care and environmental research, and whereas the BloodPAC Consortium is a consortium managed by the Center for Computational Science Research, Inc., which is an Illinois based 501(c)(3) not-for-profit corporation;

Privacy and Security Agreement Information Usage
Privacy and Security Agreement • June 21st, 2022

As a workforce member at Lake Regional Health System (LRHS), 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.

Contract
Privacy and Security Agreement • July 26th, 2018

LOCAL HEALTH DEPARTMENT EMPLOYEE PRIVACY AND SECURITY OF PROTECTED HEALTH, CONFIDENTIAL AND SENSITIVE INFORMATION AGREEMENT

BC AHSN REDCap Privacy and Security Agreement
Privacy and Security Agreement • July 17th, 2018

The BC Academic Health Science Network (BC AHSN) is committed to providing timely access to information and resources key to the delivery of health research in British Columbia, while protecting confidential business and personal information as is required by legislation.

TO: ALL COUNTY WELFARE DIRECTORS SUBJECT: CDSS PRIVACY AND SECURITY AGREEMENT
Privacy and Security Agreement • May 5th, 2020

The purpose of this All County Letter (ACL) is to notify counties of the California Department of Social Services (CDSS) Privacy and Security Agreement (PSA) and to provide counties with instructions for returning signed agreements to CDSS within 90 days of this ACL. The purpose of the PSA between CDSS and each county department is to ensure the security and privacy of Personally Identifiable Information (PII) contained in the Medi-Cal Eligibility Data System (MEDS), the Applicant Income and Eligibility Verification System (IEVS), and in data received from the Social Security Administration (SSA) and other sources. Because counties have access to the

Harmony Data System Privacy and Security Agreement for Individual Provider User
Privacy and Security Agreement • April 15th, 2022

As a user of the Harmony Data System (Harmony) and the Department of Health and Social Services (DHSS) IT resources, I understand that I am responsible for adhering to the additional rules listed below:

Privacy and Security Agreement for Individual Provider User
Privacy and Security Agreement • April 27th, 2018

As a user of the Harmony Data System and DHSS IT resources, I understand that I am responsible for adhering to the additional rules listed below:

AMENDMENT TO THE
Privacy and Security Agreement • February 16th, 2023

Department/Agency of Employment and Human Services , (County Department) and CDSS, extends the termination date of the Agreement to allow ongoing transmissions of PII while the renewal of the Agreement is negotiated and finalized between CDSS and the County Departments/Agencies.

PROTECTED INFORMATION Privacy and Security Agreement
Privacy and Security Agreement • August 1st, 2017

CONTRACTOR hereby acknowledges and agrees to the following privacy and security obligations and commitments in regard to access to the Department of Public Health’s (SFDPH) Protected Information:

INDIANA NAVIGATOR PRIVACY AND SECURITY AGREEMENT
Privacy and Security Agreement • October 4th, 2013

All Navigators certified by the Indiana Department of Insurance (“IDOI”) under Ind. Code § 27-19-4 agree to comply with this Privacy and Security Agreement (“Agreement”) in order to maintain the confidentiality of Personal Information that they receive from individuals while performing their duties as a Navigator.

Contract
Privacy and Security Agreement • May 25th, 2020
Harmony Data System Privacy and Security Agreement for Individual Provider User
Privacy and Security Agreement • September 24th, 2024

As a user of the Harmony Data System (Harmony) and the Department of Health (DOH) IT resources, I understand that I am responsible for adhering to the additional rules listed below:

Privacy and Security Agreement for all users of Pacific Radiology PACS, RIS, Inteleviewer, WebComrad, Referring Practitioners’ Portal and VPN
Privacy and Security Agreement • September 7th, 2016

Health practitioners (and sometimes their immediate support staff) need to view patients’ medical imaging records and other Pacific Radiology information to facilitate the care they provide. Every individual who needs access to patient information held in Pacific Radiology’s information systems must complete this form.

SUBJECT: PRIVACY AND SECURITY FOR STUDENT DATA AND TEACHER AND PRINCIPAL DATA (Cont'd.)
Privacy and Security Agreement • August 17th, 2023

The District will ensure that whenever it enters into a contract or other written agreement with a third-party contractor under which the third-party contractor will receive student data or teacher or principal data from the District, the contract or written agreement will include provisions requiring that confidentiality of shared student data or teacher or principal data be maintained in accordance with law, regulation, and District policy.

Contract
Privacy and Security Agreement • May 28th, 2019
BETWEEN
Privacy and Security Agreement • August 7th, 2019

enter into this Data Privacy and Security Agreement (Agreement) in order to ensure the privacy and security of Social Security Administration (SSA), Medi-Cal Eligibility Data System (MEDS) and Applicant Income and Eligibility Verification System (IEVS) Personally Identifiable Information (PII), covered by this Agreement and referred to hereinafter as PII, that the counties access through CDSS and the Department of Health Care Services (DHCS). This Agreement covers the following twelve (12) programs; please check the applicable box(s) for your County Department:

INDIANA APPLICATION ORGANIZATION PRIVACY AND SECURITY AGREEMENT
Privacy and Security Agreement • October 4th, 2013

All Application Organizations registered by the Indiana Department of Insurance (“IDOI”) under Ind. Code § 27-19-4 agree to comply with this Privacy and Security Agreement (“Agreement”) in order to maintain the confidentiality of Personal Information that they receive from individuals while performing their duties as an Application organization.

Privacy and Security Agreement
Privacy and Security Agreement • September 17th, 2020

This Privacy and Security Agreement (“Agreement”), made as of ___________, 2011 (“Effective Date”) by and between the Trustees of Columbia University in the City of New York, a New York non-profit corporation, on behalf of its Department of ____________ (“Researcher”) and [name of Data Center] (“Data Center”).

PRIVACY AND SECURITY AGREEMENT REGARDING AUTHORIZED ACCESS TO THE DEPARTMENT OF HEALTH CARE SERVICES MEDI-CAL ELIGIBILITY DATA SYSTEM (MEDS) FILES FOR COUNTY MENTAL HEALTH DEPARTMENT EMPLOYEES
Privacy and Security Agreement • June 10th, 2014

As a condition of obtaining access to any confidential records maintained by the California Department of Health Care Services (DHCS) in its Medi-Cal Eligibility Data System (MEDS), I

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County of San Bernardino Department of Behavioral Health Privacy and Security Agreement Confidentiality Statement
Privacy and Security Agreement • March 14th, 2011

Department of Behavioral Health Standard Practice Manual, COM0943, Medi-Cal Eligibility Data System (MEDS) Policy and the associated policies listed within the policy regarding the security and privacy of Medi-Cal Personally Identifiable Information (PII).

APPENDIX C
Privacy and Security Agreement • July 28th, 2021

This is an Appendix attached to and incorporated by reference with the Agreement made on October 1, 2019 between the CITY OF BERKELEY (“City”) and <Vendor’s Name>, (“Consultant”), providing for the licensing and services related to the <Vendor’s Name> hosted software system (Software).

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