BBBS
respects the confidentiality of client and volunteer records and, with the
exception of situations listed below, shares information about clients and
volunteers only among the agency’s professional staff. The right to
confidentiality applies not only to written records, but also to video, film,
pictures or use of client or volunteer's names in agency publications. All
records are considered the property of the agency and not of the agency
workers, clients, or volunteers themselves.
Limits of Confidentiality Information will be released under the
following circumstances:
1. Upon presentation of an authorized
"Consent to Release Information" form signed by the parent/guardian
or volunteer.
2. For promotional purposes with a
signed copy of the “Consent to Use Identifying Information” form.
3. For purposes of program/case
review, evaluation, audit, or accreditation to Big Brothers Big Sisters of
America, the Board of Directors, Program Committee and funding sources.
4. Pursuant to a valid and enforceable
subpoena.
5. To agency legal counsel in the
event of litigation or potential litigation involving the agency. Such information is considered privileged
information and its confidentiality is protected by law.
6. Identifying information necessary
to comply with state laws mandating reporting suspected child abuse. The agency
staff will follow reporting requirement of their respective jurisdiction and
will comply with mandated procedures.
7. Upon receipt of information that a
client or volunteer may be dangerous to himself/herself or to others. Necessary
steps may be taken to protect the appropriate party, which may include a
medical referral or a report to the local law enforcement authorities.
8. At the time a child or volunteer is
considered as a match candidate, the following information is shared between
prospective match parties. Volunteer: Age, gender, race, religion,
sexual orientation, interests, household composition, reason for application,
special skills, life threatening illnesses, employment and specific information
that would affect the match relationship; Parent/
client: age, gender, race, religion, interests, living situation, needs and
expectations for the match, life threatening illnesses, and school or family
information that would affect the match relationship. A copy of this
information profile sheet will be provided to you at your request.
I agree to keep all information
regarding a potential Big Brothers Big Sisters match confidential. I will not
discuss this information with any other person other than the assigned
professional staff. I have read and understand the above document. I agree to program participation under the
conditions it sets forth.