Celebrity Confidentiality Agreement Template - Free Download
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Confidentiality Agreement
Rev. 2013/05v3
CONFIDENTIALITY AGREEMENT
All contingent workers (i.e. anyone not employed by Columbia St. Mary’s) must follow this Confidentiality
Agreement. Please read it carefully before signing. You will be held accountable for your actions. Ask questions if
there is anything you do not understand.
TERMINOLOGY
I understand that:
• “Patient Information” is private and protected information about a patient, received through your
experience at CSM.
• “Business Information” is information about Columbia St. Mary’s business, received through your
experience at CSM.
• Private and protected means cannot be shared with anyone who does not have a right to know.
PATIENT INFORMATION
I will:
• treat all patient information as private and protected
• discuss patient information only in private
• discuss patient information only with those who have a need to know (this is true whether I am on duty
or off)
• access the least amount of patient information I need to perform my role
• share the least amount of patient information necessary
• only release patient information when my role requires it
• not access any information on friends, relatives, neighbors, celebrities, or co-workers (this includes
information on computer and on paper) outside of my assigned job duties (i.e. personal curiosity).
• ensure patient confidentiality when utilizing patient data for educational purposes
BUSINESS INFORMATION
I understand that Columbia St. Mary’s business data:
• is private
• is owned by Columbia St. Mary’s
• can only be accessed when I need it to perform my role
• cannot be shared or discussed with anyone, except as part of my role
SYSTEM SECURITY
I understand that the Information (computer) Systems:
• are owned by Columbia St. Mary’s
• can be used only if I follow Columbia St. Mary’s rules
I must:
• use only my assigned user ids and passwords to perform my role/job function
• never allow anyone else to use my user ids and passwords, including co-workers, friends and peers
• log off from or lock the workstation when I leave it, to prevent viewing of private information
source: businessplans.com
