As an employee/consultant of Dynamic, I agree to keep in confidence all information related to patient geographical data and health history unless requested by the Administrator or designee, to release information to appropriate health care regulatory agencies and/or health care providers.
All information that I may encounter in my line of work related to patient volume, patient referral sources, payroll and salaries, billing/accounts payable/receivable must be maintained in strict confidence and only provided to employees designated by the administrator.
I understand that all codes used for billing and patient registration must be kept confidential.
I understand that breach of confidentiality of information related to patients and Dynamic Hospice and Palliative Care operational procedures will lead to disciplinary actions up to and including termination.
I understand that no patient files, billing information, payroll information, or any other records, forms or data such as Open Packs, Revisit Notes, Policy Manuals obtained at Dynamic is to be loaned, reviewed, or sold to other hospice agencies. This violation will lead to immediate termination and legal action by Dynamic.