This agreement aims to ensure that any visitor, contractor or person required to work within Practice premises is aware of and agrees to the confidentiality requirements of the Practice.

AGREEMENT

The Visitor/Contractor will ensure that all personnel visiting Odiham and Old Basing Health Centres are made aware of, and agree to abide by, their duties and responsibilities with regard to confidentiality, as set out below; before they visit the Practice.

The Partners reserve the right to refuse access to any person if, in the Practice’s opinion, there is any doubt about that person’s commitment to abide by this confidentiality agreement.

•	All visitors must report to reception on arrival and sign the visitor book.
•	Any information, no matter how irrelevant or trivial it appears, which is seen or overheard whilst visiting/working in surgery must not be discussed with or disclosed to anyone else (including Practice staff and/or attached staff) under any circumstances.
•	Visitors must not access patient or practice documentation without the express permission of the Partners or Practice Manager.

Breach of confidentiality will be acted upon in an appropriate manner, which may include legal action, and is considered sufficient grounds for termination of any contract that exists between the visitor/contractor and the Practice.

The Visitor/Contractor hereby agrees that they, and all of its employees & other agents, will be made aware of, and conform to, the policy set out above.

Signed on behalf of the visitor/contractor,

Signature: ……………………………...................				Date: …………………..

Print Name: ……………………………………………………………………………………………..

Capacity in which this Agreement is signed: ………………………………………………………..

Name of Contractor: …………………………………………………………………………………...

Address of Contractor: ………………………………………………………………………………...

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