Brighton Health and Wellbeing Centre
18-19 Western Road
Telephone: 01273 772020
Declaration Of Confidentiality
Designation: BHWC Covid vaccination Volunteer
I understand that during the course of my duties I may have access to personal information about patients, personal information about members of staff and sensitive information about the Practice.
I understand that I should only enter the patient record when necessary with reference to patient care and with the permission of the patient or their advocate. Entering the record for any other purpose is an act of gross misconduct which could result in instant dismissal/
I declare that I will respect the confidentiality of all such information now and forever.
I understand the disclosure of confidential information to unauthorised persons may lead to legal action.
Employees signature: ________________________
Designation: BHWC Covid vaccination volunteer
Signature on behalf of practice: __________________________