Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 11th, 2013
UF Health* has a legal responsibility to safeguard the confidentiality and security of our patients’ protected health information (PHI) as well as operational, proprietary, and employee information. This information may include, but is not limited to, patient health records, human resources, payroll, fiscal, research, and strategic planning and may exist in any form, including electronic, video, spoken, or written. This agreement applies to all members of the workforce, including but not limited to, employees, volunteers, students, physicians, and third parties, whether temporary or permanent, paid or not paid, visiting, or designated as associates, who are employed by, contracted to, or under the direct control of UF Health. This agreement also applies to users of UF Health* information systems and the information contained therein, whether the user is affiliated with UF Health or not, and whether access to or use of information systems occurs locally or from remote locations. I hereb
ContractSecurity and Confidentiality Agreement • February 2nd, 2021
User Security and Confidentiality Agreement I have been authorized by “Name of Practice” to access health information of current patients of the Practice, through the EpicCare Link software, a secure electronic database of protected health information (PHI) owned by UF Health.* Practice has entered into a separate “UF Health EpicCare Link User Agreement” with UF Health establishing the terms and conditions by which Practice and its employees and agents shall be permitted to access the aforementioned secure electronic database for the limited purpose as herein stated and Practice has authorized me, as its agent and/or employee, to receive individual access credentials to this database pursuant to the terms of that agreement. In consideration for receiving individual access credentials (User ID and password) and access to the UF Health database, I hereby agree as follows: 1. Limited Purpose: I will only access PHI for the sole purpose of obtaining health information about the treatment
Vendor Data Security and Confidentiality AgreementSecurity and Confidentiality Agreement • November 11th, 2022
[Practice Name] herein referred to as The Enterprise, has certain information contained within The Enterprise's computer databases or information system. This information includes, but is not limited to, The Enterprise's patients and employee demographics, patient information, patient/member medical insurance and third party payer's of patient/member medical bills, patient/member information and hospital financial information.
THE UNIVERSITY OF BRITISH COLUMBIA SECURITY AND CONFIDENTIALITY AGREEMENT Supplementary (for use in conjunction with a Services Agreement)Security and Confidentiality Agreement • April 12th, 2023
THIS AGREEMENT between The University of British Columbia (“UBC”) and the Contractor witnesses that in consideration of the terms, covenants and conditions hereinafter set out, and pursuant to the Services Agreement, the parties agree as follows:
Security and Confidentiality AgreementSecurity and Confidentiality Agreement • January 16th, 2020
UF Health* has a legal responsibility to safeguard the confidentiality and security of our patients’ protected health information (PHI) as well as operational, proprietary, and employee information. This information may include, but is not limited to, patient health records, human resources, payroll, fiscal, research, and strategic planning and may exist in any form, including electronic, video, spoken, or written. This agreement applies to all members of the workforce, including but not limited to, employees, volunteers, students, physicians, and third parties, whether temporary or permanent, paid or not paid, visiting, or designated as associates, who are employed by, contracted to, or under the direct control of UF Health. This agreement also applies to users of UF Health* information systems and the information contained therein, whether the user is affiliated with UF Health or not, and whether access to or use of information systems occurs locally or from remote locations. I hereb
Security and Confidentiality AgreementSecurity and Confidentiality Agreement • May 17th, 2022
All SCCD employee and student records are to be considered confidential and, therefore, each employee of SCCD is responsible for maintaining the security and confidentiality of these records. This also applies to current or former students who are employed by the District or who are extended work experience opportunities involving access to student, financial or employee records. Regardless of employment status, these students take on the same responsibility as an employee with respect to maintaining security and confidentiality.
Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 11th, 2013
UF Health* has a legal responsibility to safeguard the security and confidentiality of our patients’ protected health information (PHI) as well as operational, proprietary and employee information. This information may include, but is not limited to, patient health records, human resources, payroll, fiscal, research and strategic planning and may exist in any form, including electronic, video, spoken or written. This agreement applies to all members of the workforce, including but not limited to, employees, volunteers, students, physicians and third parties, whether temporary or permanent, paid or not paid, visiting or designated as associates, who are employed by, contracted to, or under the direct control of UF Health. This agreement also applies to users of UF Health information systems and the information contained therein, whether the user is affiliated with UF Health or not, and whether access to or use of information systems occurs locally or from remote locations. I hereby agre
ContractSecurity and Confidentiality Agreement • April 23rd, 2019
STATEWIDE INCIDENT MANAGEMENT SYSTEM (SIMS) USER SECURITY AND CONFIDENTIALITY AGREEMENT Individually identifiable information relating to applicants/clients/recipients of the Louisiana Department of Health (LDH) is confidential and must be safeguarded in accordance with applicable legal requirements, including but not limited to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its regulations governing the privacy and security of individually identifiable health information, federal Medicaid law and regulations, Louisiana law, and the rules, policies, and procedures of LDH, as applicable. Such information shall not be shared with anyone outside LDH except in compliance with those legal requirements.Falsification of any document or information is strictly prohibited.Federal penalties may be imposed in addition to state penalties. Any person who knowingly discloses individually identifiable health information in violation of the HIPAA Privacy Rule shall be sub
ContractSecurity and Confidentiality Agreement • August 13th, 2020
DEPARTMENT OF HEALTH SERVICESDivision of Public Health F-02163 (06/2019) STATE OF WISCONSINWEDSSPage 1 of 2 TUBERCULOSIS ORDERING AND BILLING INTERFACE (TOBI) USER SECURITY AND CONFIDENTIALITY AGREEMENT Login Name/ID User Role (check all that apply) WI Division of Public Health Staff Local Public Health Staff Pharmacy Staff Clinical Staff Organization Name Organization Address City State Zip I understand that the information in this application is protected by federal and state laws. I agree to be legally and ethically responsible for protecting the confidentiality, integrity, and security of all protected data and information to which I have access. By signing this agreement, I agree to: Comply with the Wisconsin Division of Public Health (DPH) Wisconsin Electronic Disease Surveillance System (WEDSS) Security and Confidentiality Policy, and my organization’s standard policies and procedures related to confidentiality and release of personally identifying healt
SECURITY AND CONFIDENTIALITY AGREEMENTSecurity and Confidentiality Agreement • November 11th, 2019
SECURITY AND CONFIDENTIALITY AGREEMENT- Apollo – Youth inSecurity and Confidentiality Agreement • July 26th, 2019
Medicine Student Observation Program Due to the confidential nature of the information maintained by the medical practice, including information contained in patient records, the medical practice has implemented certain requirements to protect records from unauthorized access or disclosure.
USER SECURITY AND CONFIDENTIALITY AGREEMENTSecurity and Confidentiality Agreement • April 22nd, 2010
• Comply with the Wisconsin Blood Lead Registry (WBLR) Organization Security and Confidentiality Agreement (DPH F-00116) and my organization's normal protocol for releasing identifying information for clients.
SAIRS User Security and Confidentiality AgreementSecurity and Confidentiality Agreement • December 18th, 2012
The San Antonio Immunization Registry System (SAIRS) is a confidential, Web based immunization information system administered by the San Antonio Metropolitan Health District's Immunization Division. SAIRS contains Protected Health Information (PHI) of individuals, which is to be treated in a manner that preserves the confidentiality
Data Transfer, Security and Confidentiality AgreementSecurity and Confidentiality Agreement • October 16th, 2019
This agreement is between the TIDES study and the recipient / receiving agency. It refers to the pseudonymised dataset provided by the TIDES study on an agreed date and for the purposes of data analysis as agreed by the TIDES steering committee.
Security and Confidentiality Agreement - EpicCare LinkSecurity and Confidentiality Agreement • March 15th, 2021
Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 4th, 2018
VicRoads has contracted you to provide IT services which may require access to VicRoads' computer network and confidential data (the 'Information'). Access to the Information and network may be required to facilitate the provision of services to VicRoads and may be written or oral, or in the form of electronic documents, memoranda, letters or otherwise.
Northern Arizona University Employee, Trainee, Intern, Volunteer Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 24th, 2020
As an employee, trainee, intern, or volunteer of Northern Arizona University, and as a condition of my employment, training, or volunteer work, I agree to the following:
Servisource’s Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 7th, 2020
This policy applies to all employees including those who job-share, work part-time and/or are on temporary and fixed term contracts.
Security and Confidentiality AgreementSecurity and Confidentiality Agreement • May 31st, 2021
Security and Confidentiality Agreement for Participant in Selection ProcessSecurity and Confidentiality Agreement • December 7th, 2023
SECURITY AND CONFIDENTIALITY AGREEMENTSecurity and Confidentiality Agreement • December 30th, 2013
The publications and products provided to Trauma Center Association of America (TCAA) members are the property of Trauma Center Association of America (TCAA). Release of publications, papers, data, study results, and member information is strictly prohibited outside of the individual member hospital unless released in writing by TCAA Staff. Unauthorized disclosure of TCAA products will result in the hospital member being expelled from the TCAA without refund or recourse.
Security and Confidentiality Agreement For Volunteer in Patient Care or Clinical Research Area(s)Security and Confidentiality Agreement • July 26th, 2012
As a Volunteer, and as a condition of my participation, I recognize that I may have access to certain information that is confidential and constitutes valuable, special and unique property of the University of South Florida (USF). I agree to the following:
Student Records Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 29th, 2010
Security and confidentiality of student records are matters of concern to all volunteers and student workers having access to student records. Access to student information is subject to the federal Family Educational Rights and Privacy Act of 1974 (FERPA) as well as the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Oregon health information law, ORS 746.600 et.seq. FERPA deals with all student information while HIPAA deals specifically with individually identifiable health information. Both laws basically say that persons should only have access to the specific information required in the performance of their individual job function. Since conduct either on or off the job could affect or threaten the security and confidentiality of student record information, each volunteer, or student worker is expected to adhere to the following:
Financial Aid Staff Security and Confidentiality AgreementSecurity and Confidentiality Agreement • March 27th, 2013
Cuesta College AUTHORIZES access to student information both paper and electronic to the extent that is necessary to carry out your job responsibilities:
ContractSecurity and Confidentiality Agreement • August 2nd, 2020
Data Security and Confidentiality Agreement (This applies to all individuals working for or on behalf of Betsi Cadwaladr University Health Board (BCUHB), and will include non-fixed contracts, agency, volunteers, temporary personnel including students, work placements/work experience etc)
THE UNIVERSITY OF BRITISH COLUMBIA SECURITY AND CONFIDENTIALITY AGREEMENTSecurity and Confidentiality Agreement • April 1st, 2014
Comment [ic1]: Use this version where there is no other agreement between UBC and the Contractor for this purpose (e.g., a services agreement).
Data Library Security and Confidentiality AgreementSecurity and Confidentiality Agreement • November 13th, 2017
THIS AGREEMENT is entered into this day of 20 by and between the State of California, Department of Health Care Services, Office of Medi-Cal Procurement, through its duly authorized representative, hereafter called, “the State”, and , hereafter called, “prospective Proposer’s Employee, Agent, and Subcontractor”.
Security and Confidentiality Agreement for Participant in Selection ProcessSecurity and Confidentiality Agreement • September 16th, 2019
THE UNIVERSITY OF BRITISH COLUMBIA SECURITY AND CONFIDENTIALITY AGREEMENTSecurity and Confidentiality Agreement • March 4th, 2021
The Contractor has entered into an agreement with UBC to perform certain services that require one or both of the following:
Payment Card Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 21st, 2017
Radford University’s Payment Card Policy (FA-PO-1214) seeks to ensure compliance with the Payment Card Industry Data Security Standards (PCI-DSS) through the implementation of appropriate internal controls for the secure handling and protection of cardholder data (CHD). The policy establishes the requirements departments must follow in the processing of payment card transactions to reduce risks inherently associated with the handling of payment card transactions.
Security and Confidentiality AgreementSecurity and Confidentiality Agreement • January 7th, 2021
UF Health* has a legal responsibility to safeguard the security and confidentiality of our patients’ protected health information (PHI) as well as operational, proprietary and employee information. This information may include, but is not limited to, patient health records, human resources, payroll, fiscal, research and strategic planning and may exist in any form, including electronic, video, spoken or written. This agreement applies to all members of the workforce, including but not limited to, employees, volunteers, students, physicians and third parties, whether temporary or permanent, paid or not paid, visiting or designated as associates, who are employed by, contracted to, or under the direct control of UF Health. This agreement also applies to users of UF Health information systems and the information contained therein, whether the user is affiliated with UF Health or not, and whether access to or use of information systems occurs locally or from remote locations. I hereby agre
DATA SECURITY AND CONFIDENTIALITY AGREEMENTSecurity and Confidentiality Agreement • March 30th, 2022
Payment Card Security and Confidentiality AgreementSecurity and Confidentiality Agreement • May 14th, 2019
All employees of the University who are involved in the accepting, processing, or reconciling of payment card sale transactions are required to complete this security and confidentiality agreement annually.
Payment Card Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 7th, 2020
W&M Payment Card Policy & Procedures defines the university’s policy and procedures to ensure that payment card information is accepted and handled securely to reduce the risk of identity theft and financial fraud to customers who make payment via such methods. The policy establishes the requirements departments must follow in the processing of payment card transactions to reduce risks inherently associated with the handling of payments card transactions. All individuals involved in accepting, processing or reconciling payment card sale transactions on behalf of the university are required to complete all designated payment card training and to sign this security and confidentiality agreement upon hire and annually, thereafter, before performing any payment-card related responsibilities.
Security and Confidentiality AgreementSecurity and Confidentiality Agreement • July 11th, 2013
UF Health* has a legal responsibility to safeguard the confidentiality and security of our patients’ protected health information (PHI) as well as operational, proprietary, and employee information. This information may include, but is not limited to, patient health records, human resources, payroll, fiscal, research, and strategic planning and may exist in any form, including electronic, video, spoken, or written. This agreement applies to all members of the workforce, including but not limited to, employees, volunteers, students, physicians, and third parties, whether temporary or permanent, paid or not paid, visiting, or designated as associates, who are employed by, contracted to, or under the direct control of UF Health. This agreement also applies to users of UF Health information systems and the information contained therein, whether the user is affiliated with UF Health or not, and whether access to or use of information systems occurs locally or from remote locations. I hereby
