Confidentiality Agreement printable pdf download

CONFIDENTIALITY AGREEMENT

THIS CONFIDENTIALITY AGREEMENT (“Agreement”) is entered into as of the

day of

, 200_ ("Effective Date"), by and between

(“Visitor”) and Washington University on behalf of its School of Medicine (“WU”).

WHEREAS, Visitor desires to access WU employees and/or facilities for medical

observation and to advance Visitor's medical training and education; and

WHEREAS, in connection with such medical observation Visitor may have access to

valuable Confidential Information (as hereinafter defined); and

WHEREAS, WU is willing to grant Visitor access to its employees and facilities on the

condition that Visitor executes this Agreement and maintains any and all Confidential Information

in the strictest confidence.

NOW, THEREFORE, for and in consideration of the mutual agreements and covenants

contained herein, as well as other good and valuable consideration, the receipt and sufficiency of

which is hereby acknowledged, the parties agree as follows.

1. DEFINITION OF CONFIDENTIAL INFORMATION

For purposes of this Agreement, Confidential Information shall mean all information, in

any form (oral, visual or tangible), of any kind or nature, which has been or will be disclosed or

made available to Visitor including without limitation the following:

(a)

Protected Health Information defined as health information that (i) identifies or

reasonably could identify an individual, (ii) is created or received by a health care provider or

health plan, (iii) is transmitted or maintained in any form or medium and (iv) relates to the past,

present or future physical or mental health or condition of a person, the provision of care of the

person, or payment for care provided.

(b)

Proprietary Information defined as any information that is not generally known

by others with whom WU contracts, competes, does business or intends to compete or do business,

including without limitation, WU financial information; information related to the credentialing of

physicians; patient lists; development and research activities; costs, sources of revenue and

strategic plans; people and organizations with whom the party has business relationships and those

relationships; and information that WU may receive or has received that belongs to customers,

patients, providers or others who do business with WU.

2. REQUIREMENT OF CONFIDENTIALITY

2.1.

Scope of Agreement.

This Agreement applies to all past, present and future

agreements and arrangements, whether written, oral or implied, between WU and Visitor, pursuant

to which WU provides or makes available Confidential Information to Visitor in any form or

medium.

Confidentiality Agreement