Student Volunteer Application

I understand that I may not look at charts, lists of patient information, test results, x-rays or any other patient health information. I may not inquire from the employees at Mary Bird Perkins Cancer Center regarding any patient’s health information. I also understand that any patient information learned in the course of work with patients, their families or the Cancer Center staff is strictly confidential. This information must not be divulged now or ever to any person or persons other than the Cancer Center staff. Violation of this policy may result in termination of my volunteer services at our facility.