Patient Confidentiality Agreement – 10+ Free Word, PDF Documents Download

Any information related to a patient’s personal information and medical record is considered as confidential. Most patients do not want the world to know about their medical history and what they are suffering from. It is a health care professional’s responsibility too to respect a patient’s privacy and not disclose his medical information in front of everyone. A patient’s confidential information includes his disease, care, treatment and other such details. To safeguard such sensitive information, a patient confidentiality agreement is signed between a patient and the physician. You can also see Rental Agreement Templates.

Medical Data Patient Confidentiality Agreement

medteamstaffing.com
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When a patient approaches a physician, he gets access to some of the very intricate details about the patient, including his medical history, detailed condition, diagnosis, treatment and aftermaths. It is a physician’s responsibility to work for the treatment of the patient, and not disclose this data to anyone unless approved by the patient.

Patient Confidentiality Agreement for Mental Health Professional

imo.ie
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Most patients do not want everyone to know about their mental health condition, especially if something is wrong in it. The mental expert may sign a patient confidentiality agreement to sustain privacy. But sometimes it becomes essential to disclose the patient’s mental health, particularly if the patient is having extreme mental conditions, such as suicidal thoughts or thoughts of killing others. There are clauses in the agreement which mention what should be and what should not be concealed. You can also see Basic Confidentiality Agreement.

Gynecologists Patient Confidentiality Agreement

gagynecology.com
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Gynecology related problems are usually considered to be private and confidential, and should not be discussed with others unless it is for the benefit of the patient. If the patient strictly does not want anyone to know of her gynecology, she may ask the gynecologist to sign a patient confidentiality agreement for her.

Andrology Patient Confidentiality Agreement

clevelandclinic.org
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Size: 131 KB

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Most men feel private about their andrology and do not want the world to know about their condition. Men with andrology related problems are believed to be impotent and are not welcomed well in the society. So, a patient with andrology related problems may want the andrologist to sign a patient confidentiality agreement for him.

Adolescent Patient Confidentiality Agreement

relationshipsolutionscenter.net
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Sometimes, adolescents may seek treatment without the knowledge of their patients, especially regarding pregnancy, substance abuse, mental health problems, sexually transmitted diseases, etc. Now that the patient is seeking treatment and has a mind to get over with it, the physician should not disclose the condition to the parents. So, an adolescent patient confidentiality agreement may enter the scene.

Doctor Patient Confidentiality Agreement

holladayphysicalmedicine.com
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Size: 1.9 MB

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Employee Patient Confidentiality Agreement Form

gomezmedicalbilling.com
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  • DOC

Size: 23.6 KB

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Patient Information Confidentiality Agreement

einstein.yu.edu
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  • PDF

Size: 14.9 KB

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Patient Psychotherapist Confidentiality Agreement

reservepsychologicalconsultants.com
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  • DOC

Size: 51.7 KB

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Patient Therapist Services Confidentiality Agreement

centerforvaluedliving.com
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  • PDF

Size: 510.4 KB

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How to Create a Patient Confidentiality Agreement

A patient confidentiality agreement contains information about the patient, his medical condition, his medical data, diagnosis and treatment, and the information that needs to be concealed. However, there may be certain circumstances under which disclosing some information may become necessary. A template may be downloaded from the Internet to create an agreement, or you may ask an expert to do that professionally. But make sure that it is easily legible and understandable by both parties.

When a Patient Confidentiality Agreement is Used

  • When a patient seeks medical advice from a professional and wants it to be kept confidential
  • When a patient wants to hide his or her gynecology or andrology related problems
  • When an adolescent wants to get over with a condition and wants to treat it without his parents knowledge, provided that they are adults
  • When a patient suffers from a mental condition, and don’t want it to be made public

Benefits of a Patient Confidentiality Agreement

  • This kind of agreement safeguards a patient’s privacy, in case he or she has a condition and wants to treat it without everyone’s knowledge
  • It clearly indicates what can be and what cannot be revealed, so that the working of the physician becomes easier
  • It can be downloaded from the Internet and customized as per your needs

The patient confidentiality agreement forms available here are made by professional experts, and can be customized as per your specific needs and preferences. You may download the correct Agreement Templates, fill in the required details, get it signed and use it to conceal your private medical details from the world. After this, you gain legal right to claim if the medical professional disrespects your confidentiality.

by Abigail Breslin

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