Mobile Devices Agreement
Dental Hygiene Program
I, agree to the limitation of mobile devices usage while a student
in the dental clinic and lab settings.
Indian Hills Community College follows the HITECH Act enacted in 2009 that guards electronic use of patient
information. IHCC Dental Clinic students may not use mobile devices for purposes of gathering patient
information, photographs, malicious use or student personal use in the dental clinic or at clinic sites. The IHCC
student will not use/copy/or distribute patient information for public or private use from any mobile device.
Mobile devices are to be on vibrate only, in the student locker during clinic session and out of site. No mobile
use, no texting or no phone calls are to take place on the clinic floor. Student must dismiss themselves at an
appropriate time from their patient and text/ return the call in the dental assisting/ dental hygiene locker room
(If at a clinic site, student must follow the clinic site regulations regarding mobile use if it more stringent than IHCC
policy). Excessive student use of mobile devices will result in a mobile use discussion with the clinic coordinator
or program director and removal of device from the clinic sites and IHCC clinic during lab and clinic sessions.
Name:
Signature: Date:
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