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the performance of your normal job duties, you have access to much information,
which is confidential in nature. This information may include, but is not
limited to:
MEDICAL DATA
BILLING INFORMATION
PERSONAL RECORDS
PAYROLL DATA
The laws of the State of Wisconsin,
as well as Federal regulations governing Medicare patients, require strict
protection of the confidentiality of all patient information. Any disclosure
of information is permitted only under specific circumstances and in most
instances, requires the written consent of the patient.Your use and/or access
to this type of information is required because of the nature of your job,
because of your duties and assignments. Your are required to protect this
data and maintain the highest degree of confidentiality regarding its use,
both within the Medical Center and outside the Medical Center. Your
use and/or access to all confidential material is to be limited to only
the information required by your assignments. Any information that you
gain access to that is not required for your assignment will constitute
“misuse”! Deliberate efforts to gain access to data you are not
authorized for; by breaching installed security provisions or “getting around”
them will constitute an abuse of your job responsibilities.
Any abuse, misuse, or dissemination
of any confidential information (whether listed above or not) will result
in disciplinary action, which can include termination of employment.
Your signature below indicates that you have reviewed
this statement, read it, and understand your responsibilities.
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Employee Signature
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Date
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Name (Please Print) |
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Witness |
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