PDF
Word
State Form 53753 Isdh Ibrs / Idrs Confidentiality Agreement - Indiana
What Is State Form 53753?
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is State Form 53753?
A: State Form 53753 is the Isdh Ibrs/Idrs Confidentiality Agreement specific to Indiana.
Q: What does Isdh Ibrs/Idrs stand for?
A: Isdh Ibrs/Idrs stands for Indiana State Department of Health Integrated Behavior and Risk Surveillance/Integrated Data and Reporting System.
Q: What is the purpose of State Form 53753?
A: The purpose of State Form 53753 is to ensure confidentiality of the information obtained through the Isdh Ibrs/Idrs system.
Q: Who is required to sign the confidentiality agreement?
A: Individuals who have access to the Isdh Ibrs/Idrs system are required to sign the confidentiality agreement.
Q: Is the information obtained through the Isdh Ibrs/Idrs system confidential?
A: Yes, the information obtained through the Isdh Ibrs/Idrs system is considered confidential and should be treated as such.
Form Details:
- Released on August 1, 2010;
- The latest edition provided by the Indiana State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of State Form 53753 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.
