??ࡱ? > ?? ? ? ???? ? ? ?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? o ?? ? bjbj??? 4 ??zf??zf? ?? ?? ?? ? ? ? ? ? ? ? ? ???? S S S 8 ? ? S ' ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? $ ?! ? ?$ h ? ? ? ? ? " ? ? ? ? ? ? ? ? S S S ? j ? ? ? 8 ? ? S ? ? S S ? ' ? ? ???? ?HM/?y? ???? ] ^ ? ? ? 0 ' ? , ?$ ? X ?$ ? ?$ ? ? ? ? ? S ? ? ? ? ? ? ? @ ? ? ? ' ? ? ? ? ???? ???? ???? ???? ???? ???? ???? ???? ???? ???? ???? ???? ???? ???? ???? ???? ???? ?$ ? ? ? ? ? ? ? ? ? ? ? : HealthCare Pathway Program Participant Service Agreement I agree to the following: I will use confidential information, as required by HIPAA laws, obtained while participating only as authorized by the hospital for the performance of my service. I will comply with AHCV practices as it is directed by state and federal regulations and pertains to my services. I offer and perform my services as a Discover Health Care participant ? not as an employee without financial compensation. I will treat patients, guests, physicians, employees and volunteers with a positive attitude with respect and integrity. I will adhere to the Adventist Health dress code guidelines appropriate to the service area to which I am serving and wear my Discover Health Care participant identification badge while participating. I will attend and/or comply with all annual mandatory compliance testing and health screening requirements that are required to participate. I understand my services as a Discover Health Care participant are limited to customer service and staff assistance, and that as a participant will never become involved in administering patient care to our patients and guests. I understand that I may end my service at any time by written notice. I understand that my services as a participant can be discontinued at any time. I understand that upon termination of service I am required to return Adventist Health property that includes identification badge. I understand that the complimentary meal that a participant may optionally receive during a shift is not a form of compensation and that the meal must be received on the same day as the shift that I have clocked in and out for. I understand that I have made a commitment to accept a Discover Health Care assignment, and that if I fail to show for two consecutive scheduled assignments that I will be relieved of the assignment. I have read each of the above conditions and I am signing this agreement without reservation. Participant Name (Print First and Last): _______________________________________ Participant Signature: _________________________________ Date: _______________ Staff Signature: _____________________________________ Date: ________________ [ADVENTISTHEALTH:INTERNAL] ( ) 1 ; < V W z ? ? ? ? ? ! $ . 0 l ? ? ? ? ? a v ? ? ? ? % ) * ? ? ? ? ? < G ? ? ? ? 5 8 Z e ? ? ? ? ? ??????????ÿû÷?ó?ïû?÷?ó?ó??ó??????÷?÷?÷?óó????ûûû? hGA h'Qf h?es hr! hQ#= h"? hQ#= hr! 5?CJ aJ hQ#= h"? 5?CJ aJ h?q? 5?CJ aJ h?es 5?CJ aJ hQ#= h?3? CJ aJ h?/{ C ; < V W ? l ? a * ? ? ? 8 ? ? m n o ? ? ? " # r ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? gd"? gdr! &