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Appendix C
Policy 11-012

CONFIDENTIALITY STATEMENT
It is Hospital Policy and law that all Hospital information is confidential. As a regular or
temporary employee, student or volunteer of Hotel Dieu Hospital, you may handle
recorded confidences between doctor and patient and/or information regarding
personnel.
All Hospital records are to be treated as confidential material, to be protected for the
privacy of the patient and the employee. No one is expected to read or discuss records
unless his/her job so requires. Furthermore, no confidential information is to be
discussed outside the Hospital
Confidentiality is the right of every patient and everyone affiliated with the Hospital. Each
of us is expected to respect that right.
I HAVE READ AND UNDERSTAND THE ABOVE STATEMENT. I AGREE TO ABIDE
BY THE HOSPITAL POLICY AS A CONDITION OF EMPLOYMENT, AS A STUDENT,
REGULAR EMPLOYEE, TEMPORARY EMPLOYEE, OR AS A VOLUNTEER WITH
HOTEL DIEU HOSPITAL.

EMPLOYEE, STUDENT OR VOLUNTEER
SIGNATURE

WITNES