American Chiropractic Neurology Board

Confidentiality Policy:

In order to assure trust of the members and proper use of information, the Board of Directors, staff, committee members and volunteers must maintain confidentiality with respect to certain information to which they may be privy as a result of their work on the Board, in daily operations and in committee work. Each individual must sign the appropriate confidentiality agreement upon acceptance of the position and/or prior to receiving any confidential information. Each agreement reflects the appropriate level of information covered for the group: Board, staff, committee members and volunteers.

The Board receives such information as Candidate examination packets, test scores and results, recertification packets, personnel information on members and contractors, personal information on nominees, confidential information about tests, contracts/contractors and the American Chiropractic Neurology Board, Inc. organization as a whole.

AGREEMENT OF CONFIDENTIALITY for BOARD MEMBER

I, the undersigned, hereby understand and agree that due to my relationship with the American Chiropractic Neurology Board, that I:

Shall not disclose confidential information related to or verbally discussed during ACNB Board meetings or other verbal or written information identified as confidential ACNB Board business.
Shall not divulge the specific contents of ACNB certification and recertification applications and related documents or any information about an applicant received verbally or in writing.
Shall not disclose confidential information related to test scores or certificate application challenges, appeals, complaints, ethics violations or other actions being considered by the ACNB Board.
Shall not disclose any information related to individual testing programs or any testing materials.
Shall maintain all testing and certification/recertification materials sent to me for review in a locked and secure area at all times and return these materials to ACNB personnel at the next meeting unless specifically instructed to do otherwise by the ACNB Chair/President or Test Development Director, or ACNB Executive Director.
Shall not disclose any written or oral information that has been identified as confidential. This includes, but is not limited to, personnel information, volunteer information, contract information, insurance information and organizational information that is of a sensitive nature that I may be privy to as a Board member.

I further understand and agree that my signature constitutes binding acceptance of these conditions. Exceptions to this agreement can only be granted upon prior approval by the ACNB Board.

If for any reason I find myself unable to meet these commitments and agreements, carry out the above duties or become ineligible to continue to serve, I agree to resign as a director of the ACNB Board.

I further understand that review within ACNB will be the final determination of any matter arising between me and ACNB. I agree that any disagreements will be settled by arbitration in Texas.
Signature____________________________ Date____________________

The contract labor receives such information as ACNB certification and recertification packets, personnel information on other staff (contract rate information, etc.), credit card and financial information from certificants and candidates, contract information from vendors, information from the Board, committees, volunteers, and members that may be of a confidential nature, as well as information on the general operations of the organization as a whole. Unless specifically authorized by the Board or by the individual’s job description, contract labor must keep this information confidential. Each contract labor member should be required to sign a confidentiality agreement upon hire and annually thereafter.

CONFIDENTIALITY AGREEMENT FOR STAFF MEMBER:

I, the undersigned contractor, hereby understand and agree that due to my relationship with the American Chiropractic Neurology Board, that I:

Shall not disclose confidential information related to or verbally discussed during ACNB Board meetings or other verbal or written information identified as confidential ACNB business.
Shall not divulge the specific contents of ACNB certification or recertification applications and related documents or any information about an applicant received verbally or in writing.
Shall not disclose confidential information related to certification or challenges, appeals, or other actions being considered by the ACNB.
Shall not disclose any information related to individual challenges, appeals, or other action in connection with individual cases.
Shall maintain all accreditation materials in a locked and secure area at all times and handle these materials in accordance with procedures established by the ACNB. I shall distribute these materials to Board members at the direction of the ACNB Chair/President, Test Development Director or ACNB Executive Director.
Shall not disclose any written or oral information that has been identified as confidential. This includes, but is not limited to, test materials, personnel information, volunteer information, contract information and candidate information that is of a sensitive nature that I may be privy to as a contractor.

I further understand and agree that my signature constitutes binding acceptance of these conditions. Exceptions to this agreement can only be granted upon prior approval by the ACNB Board.

If for any reason I find myself unable to meet these commitments and agreements, carry out the above duties or become ineligible to continue to serve, I agree to resign as a contractor of the ACNB.
I further understand that review within ACNB will be the final determination of any matter arising between me and the ACNB, except as is included in the management contract that has placed me as an ACNB contractor. I agree that any disagreements will be settled by arbitration in Texas.

Signature____________________________ Date____________________

ACNB Committee Members may become privy to confidential information in the course of committee work. Each member should sign a confidentiality agreement prior to the participation in any committee.

AGREEMENT OF CONFIDENTIALITY FOR COMMITTEE MEMBER:

I, the undersigned, hereby understand and agree that due to my relationship with the American Chiropractic Neurology Board, Inc. ________ Committee, that I:

Shall not disclose confidential information related to or verbally discussed during committee meetings or other verbal or written information identified as confidential.
Shall not disclose any written or oral information that has been identified as confidential.

I further understand and agree that my signature constitutes binding acceptance of these conditions. Exceptions to this agreement can only be granted upon prior approval by the ACNB Board.

If for any reason I find myself unable to meet these commitments and agreements, carry out the above duties or become ineligible to continue to serve, I agree to resign.

I further understand that review within ACNB will be the final determination of any matter arising between me and ACNB. I agree that any disagreements will be settled by arbitration in Texas.

Signature____________________________ Date____________________

Volunteers may become privy to confidential information in the course or volunteer responsibilities. The Volunteers should sign Confidentiality Agreements prior to beginning work as a volunteer with ACNB.

CONFIDENTIALITY AGREEMENT FOR VOLUNTEER

I, the undersigned, hereby understand and agree that due to my volunteer relationship with the American Chiropractic Neurology Board, that I:

Shall not disclose confidential information related to or verbally discussed during committee meetings or other verbal or written information identified as confidential.
Shall not disclose any written or oral information that has been identified as confidential.

I further understand and agree that my signature constitutes binding acceptance of theses conditions. Exceptions to this agreement can only be granted upon prior approval by the ACNB Board.

If for any reason I find myself unable to meet these commitments and agreements, carry out the above duties or become ineligible to continue to serve, I agree to resign.

I further understand that review within ACNB will be the final determination of any matter arising between me and ACNB. I agree that any disagreements will be settled by arbitration in Texas.

Signature____________________________ Date____________________