PARKVIEW HEALTH CONFIDENTIALITY STATEMENT

WHEREAS, in order to facilitate Physician knowledge of patient information Parkview willingly agrees to provide the means to access this electronic data. Now, therefore, in consideration of this service, the Parties agrees as to follows: Parkview agrees to disclose to the Parties, the necessary patient information. Re-disclosure, manipulation and/or use of patient information by the Parties in any manner other than as specified in this Agreement is strictly prohibited. Parties agrees that in all respects they shall comply with Indiana Code 16-39-1-1, et seq., and with the Health Insurance Portability and Accountability Act of 1996, and all regulations that are promulgated pursuant to the Act. Parties agrees to identify by name, those employees and agents who will have access to this Patient Information, who have executed confidentiality agreements according to their policy. These agreements will be made available to Parkview for review upon request. It is understood that a breach of this Agreement will result in a termination of access by the Physician/agent to this Patient.