I, {name}, a volunteer at NCH (Naples Comprehensive Health), understand state and federal laws and the NCH Information Security Policy require confidentiality and privacy protections for healthcare records. I further understand in connection with my duties I may have access to confidential information such as patient records (clinical, financial, and demographic), business records, committee reports, physical office records, incident reports, information about fellow volunteers, and other proprietary information. I may also see patients or visitors known to me as I volunteer and I will not disclose that information to anyone.
If I am given computer access through a sign-on identification code and password, I will use it solely to obtain access to information necessary to perform my job functions. I shall not disclose my sign-on password to anyone nor will I attempt to learn another user’s password. If I have reason to believe that the confidentiality of my identification code/password has been compromised, I will immediately change my password and notify the NCH IT Security Officer at (239) 624-2343 of the suspected security breach or call the IT Service Center at: (239) 624-2200.
I acknowledge I have a responsibility to safeguard Confidential Information and to see that it is disclosed only to those properly authorized to obtain the information. I further agree to use such Confidential Information only in the course of my duties with NCH. I understand that patient privacy is important to NCH.
I understand that my failure to maintain strict confidentiality of such Confidential Information will subject me to immediate discharge, and I may be subject to any other legal remedy available to NCH including civil or criminal action being taken against me. I accept my obligation to maintain confidentiality and agree to abide by the terms of this Agreement.