I understand that all information shared in all groups or meetings and recorded in resident files is protected under the federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records, 42 CFR Part 2, and cannot be disclosed without the resident’s specific written consent unless otherwise provided for in the regulations. I also understand that HIV-related information, STD-related and TB related information is protected by State law and cannot be disclosed unless the disclosure is authorized by the resident.
The following are guidelines set forth by Dove Recovery House for Women, Inc. As such, they are expected to be respected by all staff and volunteers.
• Residents seen outside of the program setting, should not be acknowledged unless they initiate contact. • At no time is a resident’s participation in the program to be confirmed or denied by anyone calling or coming to the door without written consent provided by the resident. • Discussing confidential matters in a public place is not permitted at any time. • Discussing confidential matters with family, friends, etc. is not permitted at any time. • Use of a specific story or case history to promote the work of Dove House for Women, Inc. must receive prior approval from the Executive Director or the Assistant Director and must be approved in writing by the resident via a consent to release information. The resident’s name shall not be used in the presentation. • Using photographs or any likeness of a resident to promote the work of Dove Recovery House for Women, Inc. must be approved in writing by the resident via a consent to release information.
I understand the Non-Disclosure policy of Dove Recovery House for Women Inc. and agree to respect the confidentiality of all resident information which I gain either directly or indirectly from my work/volunteering. I further understand any breach of the agreement constitutes grounds for immediate dismissal.
