Hipaa Confidentiality Agreement (Page 4 of 4) in pdf

volunteer work, the Medical Reserve Corps Coordinator, or the Washoe County Health District’s

HIPAA Compliance Officer as soon as possible.

12. The Washoe County Health District may monitor each and every time its computer systems are

accessed. You understand that any action you take in these computer systems may be tagged with

your unique identifier as established in your user profile and such actions may be traced back to

you.

13. You shall safeguard and shall not disclose to any person your computer password, access code, or

any authorization you have that allows you to access Washoe County Health District computer

systems. You shall be responsible for all activities undertaken using your password, access code,

and other authorization, and you shall be responsible for any misuse or wrongful disclosure of

Confidential Information resulting from the use of your password, access code, or other

authorization. You shall not utilize any other person’s computer password, access code, or any

other authentication to access any computer system.

14. If you have reason to believe the security of your computer password, access code, or any

authorization you have that allows you to access to the Washoe County Health District computer

systems has been compromised, you shall report such concerns to the person supervising your

volunteer work as soon as possible.

15. You shall respect the ownership of proprietary software. For example, you shall not make

authorized copies of any software for your own use, even if the software is not physically

protected against copying, nor shall you operate any non-licensed software on any computer

provided by the Washoe County Health District.

By signing this document, you certify that you have reviewed the foregoing Confidentiality Agreement,

have been provided the opportunity to ask questions concerning its terms, and understand the duties and

obligations it imposes on you. You hereby agree to the duties and obligations as stated in this

Confidentiality Agreement and understand that the Washoe County Health District will require strict

compliance to said duties and obligations. You understand this signed and dated document will become

part of your volunteer file.

________________________________

____________________

Volunteer Signature

Date

________________________________

Please Print Name

Hipaa Confidentiality Agreement Page 4