Employee Sign Off regarding HIPAA

I am an employee of A Better Life Homecare LLC and I have read and understood this policy on protecting Patient Health Information and security. I understand that should any situation arise where I breach patient confidentiality I will be disciplined up to and including termination.

I hereby agree to maintain patient confidentiality in the strictest manner possible, sharing or discussing patient information only with those designated care providers or supervisors who have “a need to know” and are actively involved in the care of services provided to the patient.

I further acknowledge that I have been trained in the laws related to HIPAA compliance during orientation and those patients must sign written permission to allow their health information (PHI) to be disclosed.

I further agree that I will protect PHI while driving in my vehicle servicing patients in their homes and will not allow any PHI to be visible inside my vehicle; I will not bring any PHI related to another patient into the homes/facilities of patients I am servicing.