Patient Data Confidentiality Page 2

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7. I will IMMEDIATELY notify my supervisor or
8. I agree that my obligations under this
the security officer if:
confidentiality agreement will continue
a. my credentials, which may include a User ID
indefinitely, even after termination or
and password used to access electronic
expiration of my employment, contract or
information systems have or may have been
relationship with the Department.
disclosed or otherwise compromised;
9. Upon termination of my employment,
b. I know or suspect that activities that violate
expiration of my contract or other termination
this confidentiality agreement the Department’s
of my relationship with the Department, I will
use and disclosure policies have occurred; or
immediately return any confidential information
c. I misplace or otherwise lose possession of
owned by the Department.
any device, such as a laptop or handheld,
containing the Department’s electronic
information.
By completing the electronic signature, I acknowledge that I have read this
Patient Data Confidentiality and Remote Access Agreement and
I agree to comply with all the terms, conditions, and policies stated or listed herein.
September 2014
Page 2

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