form_confidentiality agreement-observer

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Institutional Review Board
Observer Confidentiality Agreement
As condition of my observation of the DATE meeting of the Hartford HealthCare
Institutional Review Board, I agree to the following Confidentiality Agreement:
I acknowledge that as an observer of the DATE meeting of the Hartford HealthCare
Institutional Review Board, I will receive, have knowledge of, and have access to
Confidential Information that may be available to me from Hartford HealthCare,
sponsors of research, research investigators, or research companies and
organizations (“Third Parties”). I will not, at any time, directly or indirectly,
disclose, reproduce, divulge, or transfer, in whole or in part, any Confidential
Information.
I also agree to hold confidential any operational or procedural
information proprietary to Hartford HealthCare or Third Parties.
I agree to protect the identity of individuals and organizations identified in
Institutional Review Board documents, materials, and examples; and, to protect the
intellectual property, and any apparent product development plans or information
that is stated or apparent in any Confidential Information I may be privy to while
observing the DATE meeting of the Institutional Review Board of Hartford
HealthCare.
As used herein, “Confidential Information” means any information, including, but
not limited to, company names, protocol details or design, research, materials,
formulas, processes, financial data, and financial plans relating to the business or
affairs of Hartford HealthCare or any Third Parties, including information received by
Hartford HealthCare pursuant to a confidentiality agreement with Third Parties. The
term “Confidential Information” shall not include information that is or later
becomes available to the general public through no fault of mine.
ACCEPTED AND AGREED:
_________________________________________
Signature
Date
_________________________________________
Name (please print)
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