understand that I may put VA sensitive information only on encrypted devices provided or approved by the VA. ___________________________________ _____________ Name Date Required Concurrence and Approval Approved / Disapprove _________________________________ ______________ C. Michael Hart, MD Date Service Chief Concur / Do Not Concur _________________________________ ______________ William Brock Date Facility Chief Information Officer Concur / Do Not Concur __________________________________ ______________ Autry Curry Date Information Security Officer Concur / Do Not Concur __________________________________ _______________ Annette P. Walker Date Medical Center Director
understand that I may put VA sensitive information only on encrypted devices provided or approved by the VA. ___________________________________ _____________ Name Date Required Concurrence and Approval Approved / Disapprove _________________________________ ______________ C. Michael Hart, MD Date Service Chief Concur / Do Not Concur _________________________________ ______________ William Brock Date Facility Chief Information Officer Concur / Do Not Concur __________________________________ ______________ Autry Curry Date Information Security Officer Concur / Do Not Concur __________________________________ _______________ Annette P. Walker Date Medical Center Director
DEVICE_Exemption_Sanctuary_Request.docx