Get Remote Access Acknowledgement

This guide provides clear and concise instructions for filling out the Remote Access Acknowledgement form online. By following these steps, you will ensure that you understand your responsibilities in accessing Oakwood’s computer network securely.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to obtain the form and access it in your online editor.
2. Fill in your name and role as an office staff member at your organization. Ensure to include the name of your employer in the designated fields.
3. Review the provided statements regarding the security of patient data. Click to confirm that you have read and understood the guidelines related to keeping patient data safe.
4. Acknowledge that you understand your legal obligations concerning the confidentiality, integrity, and availability of protected health information (PHI) by checking the necessary boxes.
5. Indicate your understanding of the access restrictions to Oakwood’s computer network and confirm that you will not share your login credentials.
6. Commit to not seeking any inappropriate benefits related to your access to PHI, checking the appropriate acknowledgment box.
7. If necessary, enter details about how to report any risks or violations concerning Oakwood’s network and PHI, as outlined in the instructions.
8. Sign and date the document electronically in the relevant fields. This acknowledges your agreement to the terms specified in the form.
9. After completing all sections, save your changes and download the document. You can then print the form if required.
10. Finally, submit the completed form to your office's My Connection to Oakwood site administrator, ensuring the document is retained for audit purposes.

Start completing the Remote Access Acknowledgement form online today.