Agreement for Students, Temporary Employees, Career Job Shadowing and Clinical Rotations
St. Mary’s Medical Center has a legal and ethical responsibility to protect the privacy of all patients and to take appropriate safeguards to protect their health information. I understand that in the course of my Career Shadowing experience I may come into contact with confidential patient information. This information includes verbal communication, documented material such as that found in medical records as well as computerized information available in healthcare computer systems. I understand that such information must be maintained in the strictest confidence.
I hereby agree that I will not at any time during or after my experience at St. Mary’s Medical Center disclose any patient information to any person or use patient information, other than as necessary in the course of my Career Shadowing experience. I also agree to protect this information by using appropriate safeguards including but not limited to, speaking in a lowered voice, avoiding conversations in public areas, and disposing of material containing confidential information in appropriate receptacles.
I agree to adhere to St. Mary’s Medical Center’s HIPAA policies 100.418 Protected Health Information and 100.419 HIPAA Administrative Policy (will be provided upon request).