Employee Name:

    I understand that my Southern Therapy Solutions email address is only to be used for work purposes. I also understand that any information shared through my STS email is public knowledge to the company and can be disclosed to the owner at any time. I understand that I am responsible for changing my email password when I initially sign in and that I should not share this password with anyone else.

    Email Address:

    Password:

    Date:

    I understand that I am responsible for in and out at the beginning and end of every shift. I also understand that when/if I take a break, I am responsible for clocking in and out at the beginning and end of the break. I if miss a clock in or out, I am responsible for letting the owner know so that it can manually be adjusted. If the time clock is having issues, it is my responsibility to let the owner know so that it can be manually fixed. Under no circumstances is anyone else able to clock in or out for me.

    Date:

    I understand that under any circumstances am I allowed to share the door code with any individual. I also understand that I am to park in the back employee parking lot, and that I am to enter the building only through the back employee entrance. It is my responsibility to keep up with the door code.

    Door Code:

    Date:

    I understand that I have access to the Electronic Medical Records though Southern Therapy Solutions and that I am not allowed, under any circumstances, to share my login information with any other individual in order to protect patient privacy. If I walk away from a computer, I am responsible for logging out of the EMR to prohibit any individuals from seeing PHI.

    EMR Login:

    EMR Password:

    Date:

    Document(s):

    Email, Clock In, DoorCode, EMR Signature Form