Telemedicine Confidentiality Agreement

This Confidentiality Agreement ("Agreement") is entered into on this date:

Between:

Provider Name:

Provider Organization:

And

Recipient Name:

1. Definition of Confidential Information

For the purpose of this Agreement, "Confidential Information" includes all patient health information, medical records, case files, communications, and any other information exchanged during or in relation to telemedicine services, whether oral, written, or electronic.

2. Obligations

3. Exceptions

4. Term

This Agreement shall remain in effect for the duration of the telemedicine relationship and continue as long as required by law.

5. Acknowledgement

The parties have read, understood, and agreed to abide by the terms of this Confidentiality Agreement.

Provider Signature
Date:
Recipient Signature
Date: