FREE 10+ HIPAA Confidentiality Agreement Samples [ Employee, Student, Volunteer ]

If you’re in the healthcare sector, you might be familiar with the Health Insurance Portability and Accountability Act which sets legal standards to protect medical records and other personal health information. It applies to health plans, clearinghouses for medical records as well as other healthcare providers who perform certain electronic transactions in healthcare. In HIPAA, patients are directly affected by four essential factors. That means patients’ rights to their own medical records as well as privacy and security issues with regard to health information. If you are a healthcare employees and professionals, you need to check this out!  In this article, we provide you with free and ready-to-use samples of HIPAA Confidentiality Agreements that employees, volunteers, and students could use for their convenience. Keep on reading to find out more!

10+ HIPAA Confidentiality Agreement Samples

1. HIPAA Confidentiality Agreement Template

2. HIPAA Non-Employee Confidentiality Agreement

3. HIPAA Confidentiality Agreement

4. HIPAA Employee Confidentiality Agreement

5. HIPAA Student Confidentiality Agreement

6. HIPAA Confidentiality Non-Disclosure Agreement

7. HIPAA Mental Health Confidentiality Agreement

8. Sample HIPAA Confidentiality Agreement

9. HIPAA College Student Confidentiality Agreement

10. University Student HIPAA Confidentiality Agreement

11. HIPAA Workforce Confidentiality Agreement

What Is a HIPAA Confidentiality Agreement?

When an employee signs a HIPAA  confidentiality agreement with their employer, he or she undertakes to refrain from using or disclosing Patient Health Information (PHI) or e-PHI unless as necessary to execute work obligations. Only healthcare workers and experts can use it.

How to Make a HIPAA Confidentiality Agreement

The purpose of the HIPAA Confidentiality Agreement is to prohibit Employee from disclosing Confidential Information without authorization. As part of the HIPAA confidentiality agreement, there are clauses explaining the penalties of a breach of confidentiality. If you’re interested in procuring this, you can check out the great templates listed above so that you don’t have to draft one up from scratch. Aside from that, you can check out these provisions and features of a HIPAA Confidentiality Agreement to guide you below:

1. Introduction

Fill in the Provider’s name or company name in the box below. Whoever reveals sensitive information is this individual. The name of the employee who will receive or have access to financial information must be entered here (the Employee). Last but not least, provide the date on which the agreement will go into effect. When the last party signs the agreement, this date is typically used as a benchmark for the agreement’s validity.

2. Personal Health Information (PHI)

In this clause, employees’ access to protected health information (PHI) is identified and regulated. Personal health information (PHI) of customers or patients of Provider may be made available to Employee in the course of his or her work with Provider. Individually identifiable health information (PIH) includes medical records, billing and financial records, and any other health information that may be used to identify a person. According to HIPAA, PHI is safeguarded from unauthorized disclosure. HIPAA allows access to protected health information (PHI) based on “need-to-know” basis. It is thus forbidden to access or circumvent the security mechanisms of PHI without prior authorization.

3. Confidential Information and Non-disclosure

This section explains what information is shielded from public view. Medical and financial data, revenue information and identity and account numbers/names, PIN/password information as well as any information transmitted in writing or in a discussion that is meant to be secret are all included in this category. Additionally, employer must keep private information (including PHI) in strict confidence and may not disclose it to anyone else without your prior written authorization.

4. Term

After the Employee’s employment has ended, the Employee’s obligations continue under this provision. Any termination, cancellation, expiry, or other conclusion of employment shall not affect the non-disclosure requirements of this Agreement, unless the parties expressly agree differently in writing or Provider provides Employee written notice releasing it from this Agreement.

FAQs

A strong and well-written Confidentiality Agreement will ensure that your workers do not use, access or reveal protected health information other than what is necessary to accomplish their duties, in the long run. To help you get started with this, download our easily customizable and robust HIPAA Confidentiality Agreement today!