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University of Kentucky 7/1/2024
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University of Kentucky 7/1/2024
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Last modified
7/1/2024 3:03:36 PM
Creation date
7/1/2024 3:03:21 PM
Metadata
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Contracts
Contractor's Name
University of Kentucky
Approval Date
7/1/2024
End Date
7/1/2026
Department
Community Development
Department Project Manager
Kelli Roark
Subject / Project Title
Social Work Internship Agreement
Tracking Number
0004416
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Other Agreements
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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6 <br />This Agreement may be executed in any number of counterparts, each of which shall be <br />deemed an original, but all of which, when taken together, shall constitute one and the same <br />agreement. Any electronically transmitted signature or photocopy of a signature to this <br />Agreement shall be deemed an original signature to this Agreement and shall have the same <br />force and effect as an original signature. For purposes of this Section, an "electronically <br />transmitted signature" means a manually-signed original signature that is sent via the <br />internet as a "pdf" (portable document format) attached to an e-mail message. Signatures <br />with AdobeSign are fully binding. <br /> <br />XIV. HIPAA <br />(Please select the appropriate box applicable to this practicum.) <br />☐ Each party agrees to abide by all applicable federal and state law and regulations, <br />including, but not limited to, the HIPAA privacy regulations set forth at 45 CFR Parts 160 <br />and 164 (the “Privacy Rule”). Because neither party uses or discloses the Protected Health <br />Information to perform services on behalf of the other, each party acknowledges and agrees <br />that neither is the business associate of the other and therefore the parties are not required <br />to enter into a business associate contract, as these terms are defined in the Privacy Rule. <br />☒ AFFILIATE is not a healthcare provider and does not have access to Protected Health <br />Information. <br />☐ AFFILIATE is a healthcare provider but UNIVERSITY student will not be permitted <br />access to Protected Health Information. <br />XV. FERPANOT USED <br /> <br />AFFILIATE shall maintain and protect the confidentiality of student education records as <br />required by the Family Education Rights and Privacy Act (FERPA). Student information <br />that is submitted by the UNIVERSITY and those records generated by AFFILIATE <br />regarding students is confidential and shall be used only for the purposes stated in this <br />Agreement. AFFILIATE agrees not to share or disclose this data with any third-party <br />outside of the purposes stated in this Agreement, unless required to do so by law or other <br />agency regulations. AFFILIATE shall notify the UNIVERSITY in writing immediately <br />upon learning of any such required release of records and also upon learning of any such <br />unauthorized release of the records or the information contained therein. Failure to comply <br />with the requirement to protect the students’ education records will result in the <br />cancellation of the Agreement and eligibility to receive any student information from the <br />UNIVERSITY for a period of no less than five (5) years. <br />AFFILIATE agrees to destroy the student information with permission of the <br />UNIVERSITY in a manner that completely protects the confidentiality of the student <br />information or return the information to the UNIVERSITY upon the expiration of this <br />Agreement.
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