Confidentiality Statement
Clinical Laboratory Science Programs
Throughout the Clinical Laboratory Science Programs at Indian Hills Community College,
I, ______________________________, will have access to patient information. I realize that this information is
private and should be kept confidential. I realize that any unauthorized release of information is punishable by fine
and/or imprisonment or dismissal from the program.
Throughout my education in the Clinical Laboratory Science Programs at Indian Hills Community College, I will not
at any time inappropriately release confidential information and I will adhere to the Code of Ethics of the Clinical
Laboratory Science Programs.
I understand that release of unauthorized patient information will result in immediate termination from the Indian
Hills Community College Clinical Laboratory Science Programs.
Name:
Signature: Date:
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