Please enter your email
Template Gallery
Categories
- Agreement
- Application
- Booking Form
- Event
- Registration
- Request
- Reservation
- Survey
- Waiver
categories
Agreement
Confidentiality Agreement
Image load failedLegal Service Agreement
Image load failedNew Client Agreement
Image load failedPersonal Loan Agreement
Image load failedPurchase Agreement
Image load failedAgreement -Coaching Agreement
Image load failedAgreement -Sales Agreement
Image load failedAgreement -Travel Agency Agreement
Image load failed
Application
Car Rental
Image load failedVolunteer Application
Image load failedCollege/University Application Form
Image load failedEvaluation of Educational Credentials
Image load failedHome Loan Application
Image load failedJob Application
Image load failedMembership Application
Image load failedMinistry Application
Image load failedPersonal Property Insurance
Pet Adoption Application
Rental Application
Scholarship Application
Summer Camp Enrollment
Vendor Application
Wholesale Application
Event
Church Event
Concert
Job Fair (Employer)
Job Fair (Job Seeker)
Registration - Wedding
Registration Form
Seminar
Summer Program
Registration
Alumni Registration
Car Show Registration
Contest Registration Form
Golf Tournament Registration
Hotel Registration
Learning Center Registration
Library Card Registration
Membership Registration
New Customer Registration Form
Race Registration Form
Race Registration Form
Tutor Registration
Vendor Registration Form
Youth Program Registration
Request
Request Form - Clinic Request Form
Request Form - Construction Project Request Form
Request Form - IT Service Request Form
Request Form - Information Request Form
Request Form - Maintenance Request Form
Request Form - Overnight Guest Request Form
Request Form - PTO Request Form
Request Form - Sample Request Form
Request Forms - Service Desk | Hardware Request Form
Reservation
Advertisement
Airport Pick-up Reservation Form
Banner
Business Name
Consultation Reservation Form
Flight Reservation Form
Library
Make a Cater Reservation Online
Meeting Room Reservation Form
National Park Reservation Form
RV Reservation
Restaurant Reservation
Trains Reservation Form
Wedding
Reservation Form - Banquet Hall Reservations
Survey
General Form - Customer Feedback Survey Form
Waiver
Agreement - Sky Diving Agreement
IV Therapy Waiver
ATV Waiver
Athletic Waiver
Boating
Dance Studio Waiver
Gym/Fitness Waiver
Health Screening
Helicopter Tours
Hot Spring
Ice Skating Waiver & Release
Nail Salon Waiver
SPA
Shooting Range
Ski/ Winter Activities
Snow Tubing Waiver
Tattoo
Wall Climbing Waiver
Waiver -Photograph/ Video-Consent and Waiver
Waiver- Glacier Hike /Ice climbing Waiver
Waivers- Driving School
Confidentiality Agreement
Created by WaiverForever
Loading...
Confidentiality Agreement
Name
Employee ID
Zip Code
Last 4 Social Security #
Date of Birth
Work Phone Number
Email
All employees of the ORGANIZATION must accept the terms of, and agree to be bound by, this Confidentiality of Information Agreement (“Agreement”) prior to being assigned duties or a computer access code or password authorization. No alterations to this Agreement are allowed.
As an employee of the ORGANIZATION, I understand that information to which I must have access in order to perform my duties may include CLIENT information or information regarding the operation of the ORGANIZATION. I am only permitted to access CLIENT medical information to the extent necessary for me to provide patient care or perform my duties. I also understand that all medical and personal information regarding patients is confidential and unless directly related to the care of patients and authorized by ORGANIZATION policy, should not be revealed or discussed with other patients, friends or relatives, or anyone else within or outside the ORGANIZATION environment.
I understand that I am required to protect any ORGANIZATION or operations information from loss, misuse, unauthorized access or modification, and to immediately report any suspected breach of security policies.
I understand that I may be given access codes or passwords to computer systems. I will safeguard the security codes and passwords given to me. I acknowledge that I am strictly prohibited from disclosing my security codes to anyone including my family, friends, fellow workers, supervisors, and subordinates for any reason. I agree ORGANIZATION data and ORGANIZATION reside and shall be stored ONLY on ORGANIZATION servers and NOT on any laptop, PCs nor any other device whether owned by ORGANIZATION or not.
I understand that failure to abide by the terms of this Confidentiality of Information Agreement is cause for termination of employment, revocation of privileges, or revocation of access to the ORGANIZATION, and may be noted in my personnel record.
Your signature
