Free confidentiality statement 27
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Confidentiality and Nondisclosure
Statement
Name:
☐ Employee
☐ Student

Position:
☐ Contractor
☐ Intern

☐ Temporary
☐ Physician/Resident

I understand that in my involvement with Providence Health & Services and its affiliated organizations (collectively referred to as
“Providence”), I will have access to information not generally available or known to the public. I understand that such information is
confidential information that belongs to Providence. Confidential data/information includes but is not limited to patient, customer,
member, provider, group, physician, student, resident, financial, and proprietary information, whether oral or recorded in any form or
medium. Confidential data/information also includes employee information that an employee does not wish to share. However, nothing
in this policy restricts an employee’s or, if applicable, other individual’s, right to disclose wages, hours, and working conditions in
accordance with Federal and State Laws. I understand that i