I understand that the confidentiality of the patients at ERC/Pathlight is of the highest priority.

In accordance with HIPAA and the Federal Confidentiality Act (42 CFR Part 2), I understand that I must not disclose to anyone outside of this facility the name or any other identifying information regarding a patient who is or ever has been in treatment at ERC/Pathlight.

As a guest or visitor of ERC/Pathlight, I will protect the confidential rights of the patients and what I have observed while being on the premises and/or virtual visitation.

I will not disclose any information to any source without the specific written consent of the person(s) to whom it pertains.