{"id":3182,"date":"2025-01-20T13:09:03","date_gmt":"2025-01-20T19:09:03","guid":{"rendered":"https:\/\/westernndhf.org\/?page_id=3182"},"modified":"2025-01-20T13:09:35","modified_gmt":"2025-01-20T19:09:35","slug":"pre-flight-confidentiality-agreement-volunteer","status":"publish","type":"page","link":"https:\/\/westernndhf.org\/?page_id=3182","title":{"rendered":"Pre-Flight Confidentiality Agreement \u2013 Volunteer"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3182\" class=\"elementor elementor-3182\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f4db5ec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f4db5ec\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fbc5efd\" data-id=\"fbc5efd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ff5183 elementor-widget elementor-widget-wpforms\" data-id=\"3ff5183\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-3174\"><form id=\"wpforms-form-3174\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3174\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F3182\" data-token=\"a46997ccd188c2e100f24c3457506704\" data-token-time=\"1777516304\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-3174-field_16-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"16\"><div id=\"wpforms-3174-field_16\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-3174-field_16-error\"><h1>Pre-Flight Confidentiality Agreement for Volunteers<\/h1>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-3174-field_1-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"1\"><div id=\"wpforms-3174-field_1\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-3174-field_1-error\"><p>All Veteran\u2019s Protected Health Information (PHI\u2014which includes medical and financial information), personal information about the Board of Directors or other Volunteers (hereby referred to as WNDHF Associates), financial and operating data of the practice, and any other information of a private or sensitive nature are considered confidential. Confidential information should not be read or discussed by any WNDHF Associate unless pertaining to his or her specific job requirements. Examples of inappropriate disclosures include:<\/p>\n<ul>\n<li>WNDHF Associates discussing or revealing PHI or other confidential information to friends or family members.<\/li>\n<li>WNDHF Associates discussing or revealing PHI or other confidential information to others without a legitimate need to know.<\/li>\n<\/ul>\n<p>The unauthorized disclosure of PHI or other confidential information by WNDHF Associates can subject each individual associate and the WNDHF Honor Flight Network to liability. Disclosure of PHI or other confidential information to unauthorized persons, or unauthorized access to, or misuse, theft, destruction, alteration, or sabotage of such information, is prohibited.<\/p>\n<p><strong>WNDHF Associate Confidentiality Agreement<\/strong><\/p>\n<p>I hereby acknowledge, by my signature below, that I understand that the PHI, other confidential records, and data to which I have knowledge and access in the course of my association with WDAY Honor Flight, is to be kept confidential, and this confidentiality is a condition of my association. This information shall not be disclosed to anyone under any circumstances, except to the extent necessary to fulfill my job requirements. I understand that my duty to maintain confidentiality continues even after I am no longer associated with Western ND Honor Flight.<\/p>\n<p>I am familiar with the guidelines in place for Western ND Honor Flight pertaining to the use and disclosure of PHI or other confidential information. Approval should first be obtained before any disclosure of PHI or other confidential information not addressed in the guidelines and policies and procedures of Western ND Honor Flight is made. I also understand that the unauthorized disclosure of PHI and other confidential or proprietary information of is strictly prohibited.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-3174-field_17-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-3174-field_17\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3174-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" spellcheck=\"false\" aria-errormessage=\"wpforms-3174-field_17-error\" aria-describedby=\"wpforms-3174-field_17-description\" required><div id=\"wpforms-3174-field_17-description\" class=\"wpforms-field-description\">Entering a valid email will allow the Western ND Honor Flight to send you an email confirmation after this form has been submitted.  <\/div><\/div><div id=\"wpforms-3174-field_2-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"2\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-3174-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-3174-field_3\">SIGNED <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3174-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-3174-field_3-error\" aria-describedby=\"wpforms-3174-field_3-description\" required><div id=\"wpforms-3174-field_3-description\" class=\"wpforms-field-description\">(Please type your full name as your signature)<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-3174-field_4-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-3174-field_4\">Todays Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-3174-field_4\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][4][date]\" aria-errormessage=\"wpforms-3174-field_4-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3174\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/westernndhf.org\/index.php?rest_route=\/wp\/v2\/pages\/3182\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3174\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/westernndhf.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Only complete this form if you have been selected for the April 2025 Flight.\u00a0 ALL PRE-FLIGHT FORMS MUST BE COMPLETED BY:\u00a0 FEBRUARY 24, 2025 Pre-Flight Confidentiality Agreement for Volunteers All Veteran\u2019s Protected Health Information (PHI\u2014which includes<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2485,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-fullwidth.php","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_mc_calendar":[],"footnotes":""},"class_list":["post-3182","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/westernndhf.org\/index.php?rest_route=\/wp\/v2\/pages\/3182","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/westernndhf.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/westernndhf.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/westernndhf.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/westernndhf.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3182"}],"version-history":[{"count":4,"href":"https:\/\/westernndhf.org\/index.php?rest_route=\/wp\/v2\/pages\/3182\/revisions"}],"predecessor-version":[{"id":3186,"href":"https:\/\/westernndhf.org\/index.php?rest_route=\/wp\/v2\/pages\/3182\/revisions\/3186"}],"up":[{"embeddable":true,"href":"https:\/\/westernndhf.org\/index.php?rest_route=\/wp\/v2\/pages\/2485"}],"wp:attachment":[{"href":"https:\/\/westernndhf.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}