This Non-Disclosure Agreement ("Agreement") is entered into on by and between:
Disclosing Party:
Receiving Party (Medical Professional):
For purposes of this Agreement, "Confidential Information" shall include all patient information, medical records, treatment information, personal data, and any other information disclosed in any format by the Disclosing Party to the Receiving Party.
Confidential Information does not include information that is:
This Agreement shall remain in effect for a period of years from the date above, or until Confidential Information ceases to be confidential.
Upon termination of this Agreement or upon request, Receiving Party shall return or destroy all Confidential Information, including copies and derivatives.
This Agreement shall be governed by the laws of
Disclosing Party Signature Date:
Receiving Party Signature Date: