Independent Contractor

Confidentiality and Non-Disclosure Agreement

Review and signature of the following Confidentiality Agreement is required of all employees and independent contractors prior to beginning work with RecordsOne, LLC or being provided access to ePHI or other forms of confidential material owned by RecordsOne, LLC.

I understand that, in the course of my work, I may learn information which is confidential under federal and state law or which is considered confidential and/or proprietary by RecordsOne, LLC, including but not limited to electronic protected health information (ePHI), other information considered personal by patients and their families, financial information, and employee and payroll information. I agree to keep confidential all such information, whether verbal, written or computerized, which I learn in the course of my work at RecordsOne, LLC.

I agree not to disclose ePHI to, or discuss patient or family information with, anyone not immediately concerned with, or involved with, a particular patient’s care or treatment. I will not discuss patient information or organizational information with anyone who does not have a clear business need to know. In addition, I will not discuss patient or organizational information in public areas.

I understand that I must protect confidential information, which may include but not be limited to ePHI, trade secrets, customer lists, and company financial information by:

1) monitoring and supervising visitors to RecordsOne, LLC locations to insure that they do not have access to confidential information,

2) destroying hard copies of confidential documents that are not filed or archived, and

3) securing confidential information in locked desk drawers and locked cabinets at the end of every business day.

I understand that Information which pertains to RecordsOne, LLC's business, including all papers, conversations, plans, and nonpublic information concerning ePHI, the company, its vendors and suppliers, is sensitive to RecordsOne, LLC’s competitiveness, strictly confidential, and must not be divulged to any entity or individual who is not employed by RecordsOne, LLC or an authorized representative.

I agree not to access or attempt to access any ePHI or other confidential material unless the information is relevant to my job and I am clearly authorized to access it. I understand that the logon ID, computer password, and/or other credentials (hereinafter ‘credentials’) assigned to me by RecordsOne, LLC are to be used solely by me in connection with my authorized access to information. I understand that use of my credentials by anyone other than me is strictly prohibited. I agree not to share my credentials with anyone and I will take all necessary steps to protect the confidentiality of my credentials.

I understand that the RecordsOne, LLC electronic mail is RecordsOne, LLC property, subject to organizational review, and should be used only for business purposes. I also understand and certify that the use of my electronic or digital signature to authenticate documents is the equivalent of my handwritten signature on the documents.

I understand it is my responsibility to read and to abide by any and all policies and procedures regarding the use and distribution of confidential information owned by RecordsOne, LLC currently in effect or which may be implemented or revised from time to time. I understand that my system and information access will be monitored and that any violation of RecordsOne, LLC policies and procedures will be reported to the appropriate individual(s) and may result in disciplinary action against me.

I understand that, if at any time I am uncertain as to whether I can properly divulge information or answer questions, I will consult my RecordsOne, LLC supervisor or manager for advice and assistance.

I understand that upon my separation, termination or non-affiliation with RecordsOne, LLC, I must delete any and all confidential and/or proprietary information stored on my personal media devices. I also understand that any and all nondisclosure certifications and obligations as set forth within this Confidentiality Agreement remain in effect beyond the point of separation, termination or non-affiliation with RecordsOne, LLC.

I understand that the information and provisions contained in this document are subject to change without notice and that no part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, for any purpose, without the express written permission of RecordsOne, LLC.

I also understand and agree that my failure to fulfill any of the obligations set forth in this Confidentiality Agreement and/or my violation of any terms of this Confidentiality Agreement shall result in my being subject to appropriate disciplinary action, up to and including, termination of employment as well as prosecution to the fullest extent of the law.

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I understand that by placing an X in the Contractor Affirmation field below, I hereby avow that I have read and understand the above Confidentiality and Non-Disclosure Agreement and that I agree to abide by the terms and conditions contained therein.

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