Student Confidentiality Agreement Sample Contracts

Salina Regional Health Center
Student Confidentiality Agreement • October 28th, 2008

This Student Confidentiality Agreement (the “Agreement") is effective the day of , 20 between Salina Regional Health Center (“SRHC") and enrolled (“Student”), a student currently enrolled

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AFFILIATION AND PROGRAM AGREEMENT FOR COURSE EXPERIENCE BETWEEN FORT BEND COUNTY AND‌
Student Confidentiality Agreement • December 22nd, 2020 • Texas

This Affiliation and Program Agreement is entered into by Fort Bend County, a body corporate and politic under the laws of the State of Texas, (hereinafter “COUNTY”) and Texas A&M University Health Science Center; a health-related institution under the administration of Texas A&M University; a member of The Texas A&M University System; and an agency of the State of Texas, on behalf of the School of Public Health (hereinafter “SCHOOL”).

AFFILIATION AND PROGRAM AGREEMENT FOR COURSE EXPERIENCE WALDEN UNIVERSITY‌
Student Confidentiality Agreement • December 9th, 2022 • Texas

This Affiliation Agreement is entered into by Fort Bend County, a body corporate and politic under the laws of the State of Texas, (hereinafter “County”) and Walden University, an institution of higher learning with its principal place of business located in Minneapolis, Minnesota (hereinafter “School”).

STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • February 18th, 2015

Student agrees to maintain confidentiality of all patient information and all confidential clinical site (e.g. hospital, clinic) information. The undersigned, agrees not to reveal to any person or persons, except authorized clinical staff and associated personnel, any specific patient information, and further agrees not to reveal to any third party any confidential information of the clinical site except as required by law or as authorized by Agency.

Student Confidentiality Agreement
Student Confidentiality Agreement • July 16th, 2021
AFFILIATION AND PROGRAM AGREEMENT FOR COURSE EXPERIENCE WALDEN UNIVERSITY‌
Student Confidentiality Agreement • March 23rd, 2023 • Texas

This Affiliation Agreement is entered into by Fort Bend County, a body corporate and politic under the laws of the State of Texas, (hereinafter “County”) and Walden University, an institution of higher learning with its principal place of business located in Minneapolis, Minnesota (hereinafter “School”).

STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • January 6th, 2015

I, , recognize and acknowledge that in the performance of my clinical experience as a student at Mineral Area Regional Medical Center, I will be working with confidential information, I agree to keep all information in strict confidence and will not disclose or disseminate any confidential information that I may be exposed to as a result of my clinical rotation. I understand that I am obligated to maintain patient confidentiality at all time, both at clinicals and when away from the facility.

HEALTH PROFESSIONS STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • September 10th, 2024

The Health Professions programs at Metropolitan Community College have distinct expectations of students regarding the confidentiality of patient-related information from classroom content, clinical content, and student’s acquisition of information.

INDEPENDENT CONTRACTOR OR STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • April 7th, 2016

I, (your name), recognize and acknowledge that, in the performance of my services at Porter Health Care System (the “Hospital”) as an independent contractor, as an employee of a staffing agency, or as a student, I will be working with and have access to certain Confidential Information. Confidential Information includes, but is not limited to, information disclosed to me or known by me as a result of my association with the Hospital and the services I provide to the Hospital and information about the Hospital's operations and other matters (whether or not such information constitutes a trade secret) that are of a confidential or proprietary nature, including and related to, but not limited to, patient background information, medical records or other medical information, diagnostic reports, Hospital organizational information, clinical information, computer data, and financial information in whatever form such information may exist including any charts, records, manuals, data, computer

HIPAA Student Confidentiality Agreement
Student Confidentiality Agreement • October 22nd, 2020
ePortfolio Coach and Student Confidentiality Agreement
Student Confidentiality Agreement • September 17th, 2012

The ePortfolio facilitates reflection on our development as a professional. It provides the opportunity to receive support and feedback on our professional development through dialogue and discussions between coach and colleagues.

AFFILIATION AND PROGRAM AGREEMENT‌
Student Confidentiality Agreement • October 3rd, 2022 • Texas

This Affiliation and Program Agreement for Course Experience (hereinafter “Agreement”) is entered into by Fort Bend County (hereinafter “County”), a body corporate and politic under the laws of the State of Texas, on behalf of the Fort Bend County Health and Human Services Department (hereinafter “HHS”) and Southern New Hampshire University (hereinafter “School”), an institution of higher learning in the State of Texas.

Observer/Intern/Student Confidentiality Agreement
Student Confidentiality Agreement • October 1st, 2015

Confidentiality Observer/Intern/Student acknowledges that as a result of the clinical learning activities, Observer/Intern/Student will have access to confidential information of the Facility, including patient health information. Observer/Intern/Student will hold confidential all patients and Facility information obtained as a participant in these activities and will not to disclose any personal, medical, related information, or any other confidential information to third parties, family members, or other Observers/Interns/Students and teachers, except as permitted in this Agreement or as required by law. Observer/Intern/Student is committed to protecting and safeguarding from any oral and written disclosure all confidential patient and Facility information that Observer/Intern/Students comes in contact with. Observer/Intern/Student shall not copy surgery schedules, patient medical records, or other Facility information. Except as permitted or required by this Agreement or by law, Obs

STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • February 16th, 2016

Patient confidentiality at the facilities used by TCU, Harris College-Nursing is of primary importance. In addition to each facility policy, a federal law called the Health Insurance Portability and Accountability Act (HIPAA) requires patient health information to be kept confidential. Additionally, patients and their families have a right to deal with their issues in a private and secure manner, trusting that their privacy will be maintained. In order to protect this right to confidentiality and to comply with federal and state laws, students must agree to hold all information (including, but not limited to, patient names, their health information, and relevant agency information) gained through their clinical assignments or professional/research projects at any facility used by TCU, Harris College-Nursing in strictest confidence. Confidentiality includes, but is not limited to, not discussing patients or their health conditions with persons who do not have a need to know and not remo

Student Confidentiality Agreement
Student Confidentiality Agreement • June 23rd, 2020

A high, responsible standard of conduct and professionalism is expected from each student. Students are personally accountable for the way in which patient information and other confidential information in Health First, Inc., facilities are utilized. Confidential information is never to be discussed with anyone other than those directly involved in the care of the patient or in the legitimate use of other confidential hospital information.

Contract
Student Confidentiality Agreement • June 28th, 2021

INCOMING STUDENT CONFIDENTIALITY AGREEMENTStudent acknowledges that as a result of the clinical and related activities it will undertake at or through OUHSC, Student may have access to confidential information, including patient identities. Student shall hold confidential all identifiable patient and OUHSC information obtained as a participant in these activities and will not disclose any personal, medical, financial, or related information to third parties, including family members, students and faculty members, or other health care providers. Student is committed to protecting from any disclosure, whether written or oral, any and all confidential information that Student may come into contact with. Student may not view or copy patient schedules, procedure schedules, patient medical records, or similar documents, except as permitted under this Agreement and any related affiliation agreements. Student may not use any confidential information in presentations, reports, social media, or

BARTON COUNTY COMMUNITY COLLEGE STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • May 24th, 2022

Confidential information includes but is not limited to: patient information, medical records, hospital information, physician information, and employee records that may be encountered in the course of the clinical practicum. Maintaining confidentiality means to share information only with healthcare professionals who have the “need to know” the information.

AFFILIATION AND PROGRAM AGREEMENT FOR COURSE EXPERIENCE
Student Confidentiality Agreement • June 21st, 2021 • Texas

This Affiliation and Program Agreement is entered into by Fort Bend County, a body corporate and politic under the laws of the State of Texas, (hereinafter “COUNTY”), on behalf of the Fort Bend County Department of Health and Human Services (“FBCHHS”) and the University of Houston Hobby School of Public Affairs, which is a state-supported institution of higher education established pursuant to Sections 111.01 et. Seq. of the Texas Education Code (hereinafter “UNIVERSITY”).

STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • February 15th, 2022

Patient or client confidentiality at the facilities used by the Oklahoma Baptist School of Nursing during clinical experiences is of primary importance. In addition to each facility policy, a federal law called the Health Insurance Portability and Accountability Act (HIPAA) requires patient health information to be kept confidential. Additionally, patients and their families have a right to deal with their issues in a private and secure manner, trusting that their privacy will be maintained. In order to protect this right to confidentiality and to comply with federal and state laws, students must agree to hold all information (including but not limited to, patient names, their health information, and relevant agency information) gained through their clinical assignments or professional/research projects at any facility used by the Oklahoma Baptist School of Nursing in strictest confidence. Confidentiality includes, but is not limited to:

Student Confidentiality Agreement
Student Confidentiality Agreement • January 25th, 2023

As a student employed by the Carey Business School, I understand that I may have access to confidential information. As a condition of my employment, I fully understand and agree to treat any and all information that I directly or indirectly obtain confidentially. I acknowledge and agree that I shall not remove or disclose documents and/or information that I access, become aware of or obtain during the course of my employment.

Student Confidentiality Agreement
Student Confidentiality Agreement • September 10th, 2014
AFFILIATION AND PROGRAM AGREEMENT FOR COURSE EXPERIENCE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON‌
Student Confidentiality Agreement • September 6th, 2023 • Texas

This Affiliation and Program Agreement is entered into by Fort Bend County, a body corporate and politic under the laws of the State of Texas, (hereinafter “COUNTY”), on behalf of the Fort Bend County Department of Health and Human Services (“FBCHHS”) and The University of Texas Health Science Center at Houston, on behalf of its School of Public Health, a state agency and an institution of higher education established pursuant to Section 65 et. Seq. of the Texas Education Code (hereinafter “UNIVERSITY”).

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NUS STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • August 29th, 2016
Student Confidentiality Agreement
Student Confidentiality Agreement • April 12th, 2021

An important part of any curriculum dealing with Network Administration is the ability to monitor and analyze network traffic. To date, the Network Security courses, MIT420/520, have provided you with in-depth information on network security. MIT641, the Protocol Analysis course, will provide you with information, and hands-on experience using a network protocol analyzer. Together, the learned information will be applied to your Technical Projects course, MIT602, as you complete your graduation requirements.

STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • August 21st, 2014

I, , the undersigned student enrolled in the School of Nursing at the University of Northwestern – St. Paul (the “University”) understand and agree to the following:

Student Confidentiality Agreement
Student Confidentiality Agreement • September 5th, 2016
INCOMING STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • November 5th, 2015

Student acknowledges that as a result of the clinical and related educational activities he or she will undertake at or through OUHSC, Student may have access to confidential information, including patient identities and health information. Student shall hold confidential all identifiable patient and OUHSC information obtained as a participant in these activities and will not disclose any personal, medical, financial, or related information to third parties, including family members, students, faculty members, or other health care providers without prior written approval of the supervisor or course coordinator. Student is committed to protecting from any disclosure, whether written or oral, any and all confidential information that Student may come into contact with. Student may not view, copy, or remove from the premises patient schedules, procedure schedules, patient medical records, or similar documents, except as permitted under this Agreement. Student may not use any confidential

STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • March 12th, 2021

As a student involved in the work-based learning experience, you will be referred to as “you” or “student”. 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.

ePortfolio Coach and Student Confidentiality Agreement
Student Confidentiality Agreement • June 28th, 2017

The ePortfolio facilitates reflection on our development as a professional. It provides the opportunity to receive support and feedback on our professional development through dialogue and discussions between coach and colleagues.

Student Confidentiality Agreement
Student Confidentiality Agreement • December 4th, 2016

It is important to recognize that protected health information (PHI) includes medical records relating to a patient’s past, present and future care and treatment as well as billing records related to that care which contains any of the following identifiers:

AFFILIATION AND PROGRAM AGREEMENT FOR COURSE EXPERIENCE THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER
Student Confidentiality Agreement • November 11th, 2021 • Texas

WHEREAS, School offers undergraduate and graduate programs in nursing and desires to have its enrolled students perform components of their practicum experience (hereinafter “Program”) at County; and

Student Confidentiality Agreement
Student Confidentiality Agreement • February 1st, 2021

It is important to recognize that protected health information (PHI) includes medical records relating to patient’s past, present and future care and treatment as well as billing records related to that care which contains any of the following identifiers:

STUDENT CONFIDENTIALITY AGREEMENT
Student Confidentiality Agreement • December 26th, 2009

As a student involved in the Workplace Learning Program (hereinafter, you will be referred to as “you” or “Student”), 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.

Student Confidentiality Agreement
Student Confidentiality Agreement • May 3rd, 2017

In a few special situations, students need to access secure assessment materials outside of traditional testing schedules. Examples of these circumstances include the following:

AFFILIATION AND PROGRAM AGREEMENT
Student Confidentiality Agreement • April 4th, 2024 • Texas

This Affiliation and Program Agreement for Course Experience (hereinafter “Agreement”) is entered into by Fort Bend County, a body corporate and politic under the laws of the State of Texas, (hereinafter “County”), and Houston Community College, a public community college district organized under Chapter 130 of the Texas Education Code, whose main office address is at 3100 Main Street, Houston, Texas 77002 and an institution of higher learning in the State of Texas (hereinafter “School”). Hereinafter, singularly, the “Party” and, collectively, the “Parties.”

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