I acknowledge that I have read and understand the organization’s policies regarding the confidentiality of patient information. I understand that all patient information, whether written, oral, or electronic, is strictly confidential and must not be disclosed to anyone except as permitted by law and organizational policies.
I agree to comply with all rules and regulations concerning confidentiality and understand that unauthorized disclosure of patient information may result in disciplinary action, including termination of employment or volunteer placement, and possible legal penalties.