Furthermore, I declare that I have received information pertaining to patient confidentiality. I understand that disclosure of confidential information without proper authorization is a violation of policy, patient’s rights, and federal and state regulations. Such violation will subject me to disciplinary action including possible termination of membership. I understand that violation of the New York State AIDS/HIV information confidentiality law may result in criminal penalties under Article 27-F of the New York State Public Health Law and PHL 800.15. I recognize that I must not disclose confidential information without proper authorization nor should I access confidential information without professional need to know.
Furthermore, I do understand that Lewis County Search and Rescue reserves the ability to require the following testing and/or checks for both pre-employment, post-accident, and reasonable suspicion: fit for duty testing, reasonable suspicion testing, background checks, driving record check, and reference checks. I understand that my employment may be contingent upon successfully passing all required testing for the agency.
Signing my name below acknowledges that I agree to all that has been stated above.
I have read the confidentiality statement and promise to comply with its provisions.