Medical Office Employee Pledge of Confidentiality

All information collected by a medical office is confidential. Have all of your staff sign this Employee Pledge of Confidentiality.

• In order to comply with privacy laws, all personnel employed in health services positions must pledge in writing to keep all patient information confidential.
• This form is downloadable, editable and easy to use.
• Customize the form by adding your office's logo, and print off copies to use as a hand-out for new employees and practitioners to sign.

The free Medical Office Employee Pledge of Confidentiality Form is available in MS Word format.