In signing this application, I certify that I have read and fully understand the questions asked in this application and that all answers given by me are true, accurate, and complete. I also understand that the omission, concealment, or misrepresentation of any fact on this application or during any interview for employment may jeopardize my chances for employment and be cause for my immediate dismissal from employment.
I give RTP Healthcare Staffing permission to use any information in this application to enable it and its agents to verify the information contained in this application I also authorize present and former employers, educational institutions I have attended, credit agencies, all references, and any other persons to answer all questions asked by RTP Healthcare Staffing with regard to any of the subjects covered by this application. I also understand that in connection with my application for employment or my employment, RTP Healthcare Staffing may conduct a criminal background investigation and that my employment may be contingent on the results of such investigation I release. RTP Healthcare Staffing, its agents, and all affiliated entities, as well as any person or situation that provides any information about me, from any and all liability whatsoever resulting from any such investigation or the disclosure of such information.
In consideration of my employment and of my being considered for employment by RTP Healthcare Staffing, I agree to abide by all rules and regulations, which I understand are subject to change at any time for any reason without prior notice. I also understand that if employed, I will be an employee at will and employed for no definite period of time. I understand that either RTP Healthcare Staffing or I can terminate my employment at any time, with or without cause and with or without advance notice. I further understand that no communication, whether oral or written, by any representative of RTP Healthcare Staffing, at any time, can constitute a contract of employment. No representative or agent of RTP Healthcare Staffing, has the authority to enter into any agreement for employment for any specific period of time or to make any agreement contrary to the foregoing.
It is the responsibility of all Healthcare workforce members, including employees, medical staff, and office staff to preserve and protect confidential patient, employee and business information.
The Federal Health Insurance Portability Accountability Act (the “Privacy Rule”), govern the release of patient identifiable information by home health agencies and other health care providers. These laws establish protections to preserve the confidentiality of various medical and personal information and specify that such information may not be disclosed except as authorized by law or the patient or individual.
Confidential Patient Care Information includes: Any individually identifiable information in possession or derived from a provider of health care regarding a patient's medical history, mental, or physical condition or treatment, as well as the patients and/or their family members records, test results, conversations, research records and financial information. (Note: this information is defined in the Privacy Rule as “protected health information.”) Examples include, but are not limited to:
I understand and acknowledge that:
I hereby acknowledge that I have read and understand the foregoing information and that my signature below signifies my agreement to comply with the above terms. In the event of a breach or threatened breach of the Confidentiality Agreement, I acknowledge that the RTP Home Healthcare Services may, as applicable and as it deems appropriate, pursue disciplinary action up to and including my termination from the RTP Home Healthcare Services.