To ensure the Agency is in compliance with the HIPAA regulations and to ensure the protection of Protected Health Information (PHI) and the prevention of unauthorized use the Agency will authorize those persons allowed to have access to PHI. The Agency must also ensure that what PHI is used by such authorized persons must be what is minimally necessary to perform/carry out the job duty/function.
By signing this agreement, I agree to comply with the Agency’s policies and procedures pertaining to PHI. Failure to do so will result in progressive disciplinary action including termination as applicable.