Physician Attestation

By checking this box, I affirm that I have received the orientation package and have a working knowledge of the below listed items. The orientation program provided me with an opportunity to obtain clarification of my questions and understand my role and responsibilities as a credentialed practitioner. I agree to abide by the Community Medical Center Medical Staff Bylaws, Medical Staff Rules and Regulations, Departmental Rules and Regulations, as well as hospital policy and procedures.*

I agree with the HIPAA Security Policy

HIPAA Security Policy:

The roles and responsibilities to secure the Health System’s the data assets, and other information system resources will align with the HIPAA Security Policy. All are responsible for maintaining the privacy and confidentiality of the environment and protecting health information and business sensitive information.