It is critical that our Compliance Program is effectively communicated throughout all levels of the organization. Compliance is the responsibility of all members of Duke Medicine. The Compliance Program and this Code may be modified to reflect future changes in laws and regulations or to improve compliance communication. Please submit your Compliance Program suggestions to the Compliance Office.
INTEGRITY IN ACTION COMPLIANCE PROGRAM
By signing this form, I acknowledge that I have been oriented to the Duke Medicine Compliance Program, have received my personal copy of the Duke Medicine Code of Conduct, and agree to abide by its terms, as it may be amended from time to time.
Signature (sign above)
Name (as it appears on social security card; please print above)
Department and Supervisor
Unique ID Number (see unique ID on back of name badge)
Please complete, sign, and mail white copy of form to:
DUHS COMPLIANCE OFFICE DUMC 3162 DURHAM, NC 27710
Keep the yellow copy for your supervisor. Thank you.