this is what I use--sm
Posted By: DeeAnn on 2009-05-20
In Reply to: Need advice about contract - Pammie
AGREEMENT OF CONFIDENTIALITY
This form will serve to confirm our agreement and understanding concerning the confidential nature of patient names, medical procedures, medical reports, and other proprietary information disclosed by physician’s dictating.
I agree to retain such information in confidence and not to publish, copy, make available or otherwise disclose any part or portion of such information to any third party.
In addition, I agree to use my best efforts and all reasonable precautions to assure that such information, which may be disclosed to me verbally, by written material, or by electronic data storage media be properly protected from unauthorized disclosure to any third party.
By signing this agreement, I further agree not to use, exploit, and/or commercialize such information for my benefit or the benefit of any third party.
Signature:
Print____________________________________________
________________________________________________
****, MT
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