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Confidentiality Agreement

I understand that I have a legal responsibility to protect client privacy. To do that, I must keep client information confidential and safeguard the privacy of client information. I may see or hear other confidential information including operational and financial information, pertaining to the general practice of and must maintain it as confidential. Regardless of the capacity in which I work, I understand that I must sign and comply with this agreement in order to be hired or continue to work for Right Care Home Health Services.

By Signing this agreement, I understand and agree that:

  1.  I will keep all work-related product as confidential and disclose such information if it is required for the performance of my job and after receiving permission from a direct supervisor in my department;
  2. I will not discuss any information either patient-related or operations-related in public areas (even if specifics such as patient name are not used), unless that public area is an essential place for the performance of my job;
  3. I will keep all security codes and passwords used to access the facility, equipment or computer systems, confidential at all times;
  4.  I will only access or view patient information for that which is required to do my job. If I have questions about whether access to certain information is required for me to do my job, I will immediately ask my supervisor;
  5.  I will not disclose, copy, transmit in paper or electronically, inquire, modify or destroy any information without permission from my supervisor, including any transmittals of work-related product made outside of any office location of Right Care Home Health Services;
  6. I understand that you have no right or ownership interest in any confidential information referred to in this agreement;
  7. I understand that my privileges here under are subject to periodic review, revision and if appropriate, renewal;
  8.  I understand that I’m responsible for my misuse of wrongful disclosure of confidential information and for my failure to safeguard my access code or other authorization access to confidential information.
  9. Once my employment is terminated, I will immediately return all property (I.e. keys, documents, client and office files, ID badges and any work-related equipment) to Right Care Home Health Services.
  10. Even after my employment is terminated, I agree to meet my obligations under this agreement;
  11.  I understand that violation of this agreement may result in disciplinary action, up to and including termination of my employment or relationship with Right Care Home Health Services; and this may include civil and criminal legal penalties as a result of any other federal and state Privacy Rule violations of confidentiality.

I have read the aforementioned statement of acknowledgement and have agreed to sign under no duress and on my own with Right Care Home Health Services. I shall be deemed legally responsible for all actions taken by me thus far understanding that legal action raised will be direct result of my own with this agency.

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