Policy Manual sample
MDT Home Health Care Agency, Inc. CONFIDENTIALITY STATEMENT I have been formally instructed in maintaining the confidentiality of the medical records and understand that the medical information regarding the patient may not be discussed with anyone, either inside or outside the agency (except as needed to conduct the business of the day). I understand that no medical records are to be removed from the home health agency unless a "Release of Information" form has been completed and signed by the patient. It is my understanding that such discussion or release of information is cause for dismissal. I have been formally instructed in the policies and procedures of MDT Home Health Care Agency, Inc. and I have read and signed a job description for my specific classification. I have been formally instructed in the policies and procedures of the Agency regarding full compliance with all HIPAA regulations. I will carry at all working time my Identification Card. EMPLOYEE’S SIGNATURE DATE DATE OF HIRE Home Health Agency Policies A-87
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