Vendor Security Confidentiality Agreement Sample - Free Download
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Vendor Confidentiality / Security Agreement
As a Vendor, I understand that while performing my official duties I may have access to
protected health information. Protected Health Information (PHI) means individually
identifiable health information that is transmitted or maintained in any form or medium.
Protected Health Information, such as resident’s addresses’, telephone numbers, diagnoses,
social security numbers, or dates of birth, are NOT open to the public. Special precautions
are necessary to protect this type of information from unauthorized access, use, modification,
disclosure, or destruction.
Additionally, as a Vendor, I promise that in the process of providing services and/or products
to Mid-Atlantic Health Care, LLC and its managed facilities, that all business transactions
shall be conducted in the strictest confidence. Including, but not limited to, all matters which
are sensitive in nature, and therefore, confidential and proprietary. Accordingly, the
undersigned agrees in connection with any and all participation at meetings, conversations, or
written correspondence, no information is to be released nor disclosed to third parties except
specifically authorized by Mid-Atlantic Health Care, LLC and /or its managed facilities.
Vendors and Vendor sales representatives are expected to conduct themselves in a
professional manner at all times, and to comply with all MAHC. In addition to MAHC
facilities’ general policies, Vendors and Vendor sales representatives are required to comply
with the Vendor-specific policies set forth below.
I. Vendor Sales Representative Visits to MAHC and any of its Managed Facilities
a. At the time of their initial visit to an MAHC skilled nursing and rehabilitation
facility, all Vendor sales representatives must first register with the receptionist/front
Each time a Vendor sales representative visits Mid-Atlantic Health Care and
any of its managed skilled and rehabilitation facilities he/she must proceed
directly to the front desk, sign in and procure a temporary visit badge with the
date of that visit. The visitor badge must be visible at all times while the Vendor
sales representative is on the premises.
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