I, the undersigned, have read and understand JT Solutions LLC's policies regarding the privacy of individually identifiable health information (or protected health information (PHI)), as mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the State of Pennsylvania. In addition, I acknowledge that I have received training in JT Solutions LLC's policies concerning PHI use, disclosure, storage, and destruction as required by HIPAA.
In consideration of my employment or compensation from JT Solutions LLC, I hereby agree that I will not at any time - either during my employment or association with JT Solutions LLC or after my employment or association ends - use, access or disclose PHI to any person or entity, internally or externally, except as ais required and permitted in the course of my duties and responsibilities with JT Solutions LLC, as set forth in JT Solutions LLC privacy policy and procedures or as permitted under HIPAA. I understand that this obligation extends to any PHI that I may acquire during the course of my employment or association with JT Solutions LLC, whether in oral, written, or electronic form and regardless of the manner in which access was obtained.
I understand and acknowledge my responsibility to apply JT Solutions LLC policies and procedures during the course of my employment or association. I also understand that unauthorized use or disclosure of PHI will result in disciplinary action, up to and including termination of employment or association with JT Solutions LLC and the imposition of civil penalties and criminal penalties under applicable federal and state law, as well as professional disciplinary action as appropriate.
I understand that this obligation will survive the termination of my employment or end of association with JT Solutions LLC, regardless of the reason for such termination.