CONFIDENTIALITY AGREEMENT
I, _____________________________________________, do hereby agree to keep
all information obtained regarding patients and/or physicians confidential. I
hereby agree not to discuss any information obtained during the course of this job
with persons outside the medical center. I release Providence Alaska Medical
Center and its representatives any liability arising from a breach of confidentiality
caused by myself.
__________________________________________ _______________
Signature Date
Guidelines for Practicing Confidentiality
Patients should not be discussed at breaks or meal times.
Patients should not be discussed with health care workers not directly involved in their care.
Medical and nursing records should not be left at any location where they can be seen by
unauthorized personnel.
Patients must give permission for information (such as diagnosis) to be revealed to anyone. A
patient may withdraw permission at any time.
Patients should not be discussed where information can be overheard by visitors.
When a patient is your neighbor or friend, you should be particularly careful not to reveal any
information to mutual friends.
No information about patients should be revealed to reporters, press, or media.
Interviews with confused or disoriented patients are not permitted without family and/or
physician's permission.
