ADOPTION SERVICES AGREEMENT
ACKNOWLEDGMENT OF PRIVACY PRACTICES:
GRIEVANCE PROCEDURE
Your input regarding the services provided by DePaul Community Resources’ Adoption Program is important. If you are not satisfied with services provided, it’s important to let the Adoption Specialist managing the case know of your concerns. You may also contact Marya McPherson, Director of Adoption, at 540-381-1848 or Renee Brown, Vice President of Child and Family Services of DePaul Community Resources. Renee can be reached at 540-265-8923.
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CONFIDENTIALITY
Protecting confidentiality is important to DePaul Community Resources. All client information is confidential. On the referral application, you have been asked to give permission for the referred child to be featured in the media for recruitment purposes.
Written permission to release client-related information to outside parties for other purposes is required by law, except in the following cases:
1) Mandated reporting of abuse, neglect, self-harm, harm to others, duty to warn of threat to harm others, or client inability to care for self.
2) Medical emergency; for the purpose of preventing injury to or death of client or another person
3) Subpoena for records, legal counsel, hearings, reviews, appeal or investigation under the regulations of Licensing, Human Rights, or certification or accreditation. (12 VAC 35-115-80)
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CLIENT RIGHTS
DePaul Community Resources respects the rights of children receiving services.
Clients being served have the right….
• to be treated with dignity and respect
• to be told about their treatment
• to have a say in their treatment
• to speak to others in private
• to have their complaints resolved
• to say what they prefer
• to ask questions and be told about their rights
• to get help with their rights
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