It is the policy of Grace and Mercy Health Services that all employees, contractors and volunteers of
Grace and Mercy Health Services will maintain and uphold confidentiality of patient information at all
According to Healthcare regulation it is the policy of GMHS to provide our employees with patient
information about a client at the time when an employee is assigned a case.
I, (Please input name below) hereby agree to keep all personal and medical
information of Grace and Mercy Health Services, and/or her patients/clients, confidential..
Furthermore, I agree not to releaser any information to any outside organization or agency
without the approval of the agency patient/client, or as required by law or third party payment
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