HVHC Confidentiality Policy AgreementI acknowledge that I have read the Confidentiality Policy, and I understand the following: • I will have access to confidential information while working with Hospice Volunteers of Hancock County (HVHC).• I agree not to disclose or use any information obtained while volunteering with Hospice Volunteers of Hancock County for any purpose outside the scope of providing services.• I agree to keep all information about patients, clients, family members, volunteers, employees, and HVHC’s business strictly confidential.• I will protect confidentiality when using, discussing, storing, and transmitting information.• I understand that confidential information includes Personal Health Information (PHI) such as name, address, date of birth, phone number, email, Social Security number and Vehicle Identification Number.• I will not share confidential information in conversations outside of HVHC, on social media, by email or text, or in any form of communication outside of HVHC.• I understand my responsibility to protect confidentiality continues after my role with HVHC ends.• I agree not to use or disclose any information I learn while volunteering for any purpose outside my HVHC role.• I understand that improper disclosure may violate state and federal laws and could cause harm to patients, families, volunteers, HVHC, and partner organizations.Name(Required) First Last Date(Required) Email(Required) Signature(Required)Type in full name
