Guam Agreement Regarding the Receipt of Confidential Information
Description
How to fill out Agreement Regarding The Receipt Of Confidential Information?
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FAQ
I agree to treat the identity of all identifying information about clients and other members of the AGENCY NAME as well as the location and other identifying information about the shelter, and transitional houses as confidential. Clients' names will not be mentioned outside the structure of the program.
The receiving party reasonably understands its confidential nature and any circumstances that would call for disclosure of said information. For example, confidential information may include financial projections, business forecasts, customer lists, employee information, sales, patents, and trade secrets.
A confidentiality agreement should include a clear definition of the confidential information, scope of the agreement, obligations of the receiving party, the duration of the contract, any exceptions to confidentiality, and the consequences of a breach of the contract.
I am not permitted to access, view, and alter (change) confidential information unless I have received authorization as required to complete my job responsibilities, and that I will access, view, and alter (change) only the confidential information records needed to perform those job duties.
Here is a common example: CONFIDENTIALITY NOTICE: This message and any accompanying documents contain information belonging to the sender which may be confidential and legally privileged. This information is only for the use of the individual or entity to which it was intended.
Here are some examples of confidential information: Name, date of birth, age, sex, and address. Current contact details of family. Bank information. Medical history or records. Personal care issues. Service records and file progress notes. Personal goals. Assessments or reports.
I will not access any medical record I am not legally authorized to, including but not limited to the medical record of any family member or co-worker. 4. I will utilize and access only the minimum amount of information necessary for performance of my job.
I agree that: a) I shall not share this information, material or documents (information) with persons within or outside of the ________ who are not authorized to have this information. b) I shall not publish such information. c) I shall not communicate such information without authority.