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ORANGE COUNTY HEALTH DEPARTMENT <br />Board of Health Policy and Procedure Manual <br />Section I: Board Adopted Policies <br />Policy C: Confidentiality Agreement and Conflict of Interest Statement <br />Reviewed By: Board of Health, Health Director <br />Approved By: Board of Health <br />Review Annually (July) Page 3 of 3 <br />Original Effective Date: October 24, 2004 <br />Revision Dates: 1/2006, 11/13, 11/2014, 8/2015 <br /> <br />\\kingcharles\Depts_AH\HEALTH\MANAGERS WORKING FILES\BOH\Policies and Procedures\BOH Policy Manual\Annual <br />Review\Track Changes\I.C.Confidentiality and Conflict for BOH_DRAFT Aug 2015.doc <br /> <br />I have read and understand the confidentiality and conflict of interest statements. I <br />agree to abide by these policies. <br /> <br /> <br />___________________________ _______________ <br />Board Member Signature Date <br /> <br />____________________________ <br />Board Member Name (Printed)