Personal Confidentiality Agreement Template - Free Download
4.5, 3357 votes
Please vote for this template if it helps you.
THIS CONFIDENTIALITY AGREEMENT is made this day of
B E T W E E N:
(Hereinafter Referred to as the “Researcher”)
- and -
ROYAL VICTORIA REGIONAL HEALTH CENTRE
(Hereinafter referred to as RVH)
WHEREAS (name of researcher) is a
clinical researcher wishing to access confidential data contained in the medical records
and/or patient charts of the RVH..
AND WHEREAS the RVH considers itself ethically and legally bound to protect the
confidentiality of such information within the limits prescribed by Good Clinical Practice,
TCP Ethical Guidelines and all applicable legislation including, without limitation, the
Personal Information and Protection of Electronic Documents Act 2003 and the Personal
Health Information Protection Act, 2004;
NOW THEREFORE, for valuable consideration, the receipt and sufficiency of which is
hereby acknowledged, THE PARTIES AGREE AS FOLLOWS:
1. The foregoing recitals are accurate and true.