Business Associate, HIPAA, and Confidentiality Agreement
Sentio University 6 Hour Deliberate Practice Supervision CE
By registering for and participating in the 6 Hour Deliberate Practice Supervision CE offered by Sentio University, I understand and agree to the following confidentiality, HIPAA, and privacy requirements.
Purpose of this Agreement
I understand that this continuing education course includes observation of and participation in professional discussions involving real clinical cases, supervision, clinical outcome data, clinical decision making, and other confidential clinical material. I understand that this material may include Protected Health Information as defined by HIPAA and other private or confidential information.
The purpose of this Agreement is to protect the privacy and confidentiality of clients, trainees, supervisees, supervisors, Sentio University, Sentio Counseling Center, and all other individuals whose information may be discussed or presented during the course.
Confidentiality Requirement
I agree to maintain strict confidentiality regarding all client information, clinical material, supervision discussions, video material, case details, clinical outcome data, identifying information, and all other private information I may see, hear, or access through this course.
I agree that I will not disclose, discuss, copy, record, photograph, download, save, share, transmit, post, summarize, or otherwise use confidential information from this course except as specifically permitted by Sentio University for the purpose of my participation in the course.
No Recording or Sharing
I agree that I will not record, screenshot, photograph, copy, download, transcribe, or reproduce any part of the live meetings, recorded materials, supervision discussions, case materials, client information, or course materials unless I receive express written permission from Sentio University.
I agree that I will not share Zoom links, course access links, recordings, handouts, case information, or any other course materials with any other person.
Protection of Client Identity
I understand that Sentio University and the course instructors will make reasonable efforts to protect client confidentiality. However, because the course involves real clinical case material, there is a possibility that I could recognize a client, trainee, supervisee, supervisor, family member, colleague, or other person connected to a case.
If I recognize or believe I may recognize any client or other person whose case or information is being discussed, I agree to immediately leave the Zoom meeting without announcing the person’s identity or disclosing the reason in a way that could identify the client or case.
After leaving the Zoom meeting, I will wait for the instructor to contact me by email with instructions about when and how I may rejoin the meeting. I will not attempt to rejoin the meeting until I have received permission from the instructor.
I agree that I will not discuss the recognized person, the case, the meeting content, or the reason I left the meeting with anyone other than the course instructor or another person specifically designated by Sentio University.
Minimum Necessary Use
I agree to access, use, and discuss only the minimum amount of confidential information necessary for my participation in the course. I agree not to seek out additional information about clients, trainees, supervisees, supervisors, or cases discussed in the course.
Secure Participation
I agree to participate in live Zoom meetings and view course materials from a private location where others cannot see or hear confidential information. I agree to use reasonable safeguards to protect confidentiality, including using headphones when appropriate, keeping my screen private, and preventing others from accessing course materials.
Prohibited Uses
I agree that I will not use any confidential information from this course for my own clinical work, teaching, supervision, consultation, research, writing, publication, social media, artificial intelligence tools, case examples, presentations, or any other purpose outside this course unless Sentio University provides prior written permission and all required privacy protections are met.
Artificial Intelligence Tools
I agree that I will not enter, upload, paste, summarize, or otherwise provide any confidential course content, client information, clinical material, supervision discussion, or case information into any artificial intelligence tool, chatbot, transcription tool, automated note taking tool, or similar technology.
Reporting a Confidentiality Concern
If I become aware of a possible confidentiality concern, privacy issue, unauthorized disclosure, mistaken access, or other problem involving confidential information from this course, I agree to notify the course instructor or Sentio University as soon as possible.
Continuing Obligation
I understand that my obligation to protect confidential information continues after the course ends.
Acknowledgment
By signing or submitting this registration form, I acknowledge that I have read, understand, and agree to follow this Business Associate, HIPAA, and Confidentiality Agreement.