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Home
Upcoming Events
About
About Us
Staff Directory
Location
Applications
Internship Opportunities
Job Openings
Board of Health
Board Members
Meeting Schedule
Board Agendas and Minutes
Finance Committee
Governance Committee
Human Resource Committee
Executive Committee
Performance Evaluation Committee
Nominations Committee
Clinical Health Services
Clinical Health Services Main Page
Flu Clinics 2024
Vaccine Information Sheet
Substance Use Disorder & Recovery Resources
Tuberculosis
Hepatitis C
Community Health
National Public Health Week
The Future of Public Health
Healthy Connections Newsletter
Healthy Living
Walking Competition
Emergency Preparedness
EP Home
Preparing for an outbreak
Volunteer Registration
Volunteer Confidentiality Agreement
Epidemiology
The Weekly Epidemiologist Report
Reportable Infectious Diseases
CDC Disease Counts
Vector Borne Disease
Tick Submission Form (CAES)
Rabies
Environmental Health
EH Home
Childcare Facilities
Food Establishments
Land Use
Motels (Rooming Units)
Payment Information
Public Swimming Pools
Salons and Barbershops
Sanitary Code
Recalls & Safety Alerts
Store
Emergency Preparedness
EP Home
Preparing for an outbreak
Volunteer Registration
Volunteer Confidentiality Agreement
Volunteer Confidentiality Agreement
Volunteer Confidentiality Agreement
*
I have been advised by the Central Connecticut Health District (District) that while in my position with the District I may have access to confidential information. Confidential information includes, but is not limited to, all citizen records and health information, employee or staff information, proprietary or financial information, marketing or business plans, software systems and products and any other data, files or records owned by or in the custody, possession, or placed in storage by the District. I acknowledge that I have been instructed that this information is private and must be kept confidential. I have been informed that I may access information in a manner consistent with the Freedom of Information Act, my approved job function and for conduct of work-related business only. I have been informed that I may not seek to gain access to confidential health information unless I require this information to perform my work-related responsibilities. I have been informed that I may not leave my computer unattended while online or share my user password with any unauthorized user. I have been informed that a citizen’s right to confidentiality of health and social information is protected by Connecticut State statute, federal law and the policies and procedures of the District. I have been informed that I must not share confidential information, except as required by the District’s policies and procedures and only within the legitimate scope of my position with the District. I have been informed that I must keep information confidential when off duty from my position and after I have terminated my position with the District. I have been advised that if I fail to keep information confidential, I may be subject to disciplinary action, including termination. I have been advised that if I violate a citizen’s right to privacy and confidentiality, I may be subject to civil and criminal legal action. In summary, I have been instructed that I must always uphold and enforce the District’s Confidentiality Agreement . I have been advised that this confidentiality requirement will survive the termination of my employment with the District.
I accept this agreement
I do not accept this agreement
Name
*
First Name
Last Name
Email
*
Thank you!