Fillable Radiologic Technology Confidentiality Statement (Indian Hills Community College)

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Radiologic Technology Confidentiality Statement (Indian Hills Community College)

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Confidentiality Statement
Radiologic Technology Program
Throughout the Radiologic Technology Program 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 Radiologic Technology Program 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 Radiologic
Technology Program.
I understand that release of unauthorized patient information will result in immediate termination from the Indian
Hills Community College Radiologic Technology Program.
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Radiologic Technology Confidentiality Statement (Indian Hills Community College)

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Completed 18 July 2020

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