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This document outlines the responsibilities and prohibitions related to accessing and handling confidential information as a member of the University of Southern Maine workforce.
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How to fill out Confidentiality Statement

01
Read the Confidentiality Statement carefully to understand its purpose and requirements.
02
Fill in the date at the top of the document.
03
Provide your full name in the designated area.
04
Include the name of the organization or project related to the Confidentiality Statement.
05
Specify your role or title within the organization.
06
Review and check all the information you have entered for accuracy.
07
Sign and date the statement at the bottom to acknowledge your understanding and agreement.

Who needs Confidentiality Statement?

01
Employees accessing confidential company information.
02
Contractors working with sensitive data.
03
Interns who are exposed to proprietary information.
04
Volunteers involved with organizational projects requiring confidentiality.
05
Business partners engaged in collaborative projects that involve shared confidential information.
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The 5 #Cs — Clarity, Completeness, Conciseness, Chronology, and Confidentiality — are essential principles that guide #healthcare professionals in maintaining accurate and comprehensive #medicalrecords.
Any unauthorized use, distribution, or copying of this email is strictly prohibited. Example 3: The information contained in this email and any attachments is confidential and may be legally privileged. It is intended solely for the addressee(s) and access to this email by anyone else is unauthorized.
I agree that: a) I shall not share this information, material or documents (information) with persons within or outside of the __ who are not authorized to have this information. b) I shall not publish such information. c) I shall not communicate such information without authority.
The following information is confidential: Social Security number. Name. Personal financial information. Family information. Medical information. Credit card numbers, bank account numbers, amount / what donated. Telephone / fax numbers, e-mail, URLs.
I acknowledge, by my signature below, that I understand that patient medical records, financial information and data to which I have knowledge and access, are to be kept confidential.
A confidentiality agreement should include the names and addresses of the parties to the contract. Consider also including: Reason for the agreement: Explain why you're sharing this information. The information disclosed: Be specific about the subject matter and what exactly is included in the agreement.
There are, broadly speaking, five main types of confidential information. Employee Information. In the course of the job, you will hear information about individuals within your organisation. Managerial Information. Organisational Information. Customer or Contact Information. Professional Information.
Confidentiality clause Party A and Party B shall not disclose any information or materials provided by the other party to a third party for any reason, form or purpose without the permission of the other party, otherwise Party B shall bear the corresponding legal responsibility and compensate for the losses.
I am not permitted to access, view, and alter (change) confidential information unless I have received authorization as required to complete my job responsibilities, and that I will access, view, and alter (change) only the confidential information records needed to perform those job duties.
I acknowledge, by my signature below, that I understand that patient medical records, financial information and data to which I have knowledge and access, are to be kept confidential.

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A Confidentiality Statement is a document that outlines the obligations of parties to keep certain information private and not disclose it to unauthorized individuals or entities.
Individuals or organizations that handle sensitive information, such as employees, contractors, or partners, may be required to file a Confidentiality Statement to ensure the protection of proprietary or confidential data.
To fill out a Confidentiality Statement, individuals should include their name, the name of the organization, the specific information deemed confidential, and any relevant terms and conditions regarding the handling of that information.
The purpose of a Confidentiality Statement is to legally protect sensitive information, establish trust between parties, and prevent the unauthorized sharing or use of confidential data.
The information that must be reported on a Confidentiality Statement generally includes the identification of the parties involved, a clear description of the confidential information, the obligations of the parties regarding the confidentiality of that information, and the duration of the confidentiality obligation.
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