Confidentiality Agreement


As a volunteer prayer intercessor for ComfortCare Women’s Health, I understand how vital confidentiality is to the continuation of our ministry. As I serve in my role I may have access to confidential information regarding patients or other privileged information.

  • I will reveal neither names nor details to anyone outside the ComfortCare Women’s Health.
  • I will also respect the spirit of confidentiality and will not discuss confidential information within the Clinic inappropriately or indiscriminately in a gossiping manner.
  • I will keep all patient information in the strictest of confidence.

By filling out the form below, you acknowledge that you are virtually signing this document and agreeing to the statements above.

Please sign your name and date below

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