New Mexico State University

Department of Health Science

CONFIDENTIALITY POLICY

It is the policy of the Department of Health Science that all students must sign a statement regarding the confidentiality of patients and clients. This policy is for the protection of the patients; in signing this form the student states that (s)he will not disclose any names or information regarding and patients or clients to peers, friends, or relatives.

I agree to protect the confidentiality of the patients and clients in all situations.

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STUDENT (date)

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FACULTY SUPERVISOR (date)