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Y Form is to ensure that all County Departments, Contractors, LAC-DMH Non-Governmental Agencies (NGA), Fee-For-Service Hospital (FFS1), Fee-For-Service Outpatient (FFS2) and Pharmacy users are aware of their responsibilities and accountability to protect the confidentiality of clients sensitive information viewed, maintained and/or accessed by any DMH on-line systems. Further, the Department s Medi-Cal and MEDS access policy has been established in accordance with Federal and State laws gov.

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Confidentiality oaths are important clinic documents that should be signed by all physicians, staff, volunteers, contractors and vendors who doing work for your clinic. This is an important safeguard to ensure that every custodian and affiliate in your clinic understand their obligations to protect health information.

Open the document with a self-referential to establish who is taking the oath: "I, [name], solemnly swear to ... ." If the oath is to be taken by a group, use "we" instead of "I." Mention witnesses in the document if there are to be any: "I, [name], solemnly swear in the presence of [names of witnesses] to..."

Swear that I shall maintain the secrecy of the ballot and shall not communicate, except for a purpose authorized by law before the poll is closed, any information as to the name or number on the register of voters, of any voter who has not applied for a ballot paper or voted at that station or as to the official mark ...

All information given out or discovered about _______________ and his/her family's circumstances and / or the operations shall be held in confidence by me. I will not make public statements to the media expressly or impliedly, on behalf of _______________________________ or his/her family.

I agree that I will keep secret any confidential information that I know through my position with the non-profit unless authorized by the Board of Directors. This applies while I am a Director of the non-profit and when I am no longer a Director of the non-profit.

The oath of secrecy is the term used for the duty of clergy and church officers not to report, or comment on, facts and events of a confidential nature that they have come to know in the exercise of their office.

For other officials, including members of Congress, that document specifies only that they "shall be bound by Oath or Affirmation to support this constitution." In 1789 the First Congress adopted a simple oath: "I do solemnly swear (or affirm) that I will support the Constitution of the United States."

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232