Please complete the form below after reading this information. For questions about your orientation/update, please call 912-287-2590.
By completing this form, you acknowledge that you have completed training on the privacy policies and regulations of Mayo Clinic Health System in Waycross, issued under the Health Insurance Portability and Accountability Act of 1996 (also known as the HIPAA Privacy Rule).
You understand that all patient information, including billing and financial data, is confidential.
You agree to keep patient information confidential.
You understand that you may only access and use patient information to do my job; therefore, if you become a patient of the health system and need access to your information, you will contact Health Information Services to request the information and sign the required authorization form.
You agree to comply with all Hospital Privacy Policies and Procedures including those implementing the HIPAA Privacy Rule.
You understand that if you violate patient confidentiality by using or disclosing patient information improperly, you may be subject to disciplinary action up to and including termination of your employment.
You understand that if you have any questions or concerns about the Privacy Rule and/or the proper use or disclosure of patient information, you should ask your supervisor, the hospital's Privacy Officer, or contact the Corporate Compliance Hotline (888-721-5391).
You understand and agree that the Hospital Privacy Policies and Procedures will apply to any patient information to which you have access at the hospital, even after your employment or other relationship with the health system is terminated.
You agree to follow social media guidelines set forth by Mayo Clinic.
You understand and agree with all of the provisions of this agreement.