Obtaining Client Consent. The agency will obtain consent before submitting personally identifying information according to procedures outlined in the partner agreement and in compliance with state law. The Informed Consent and Release of Information Form is available on the Safe Harbors website at xxx.xxxxxxxxxxx.xxx. For this provision personally identifying information is defined as complete name, complete date of birth and social security number. Agencies are required to submit birth year, gender, and race which are not subject to informed consent. The Agency must enter all other data elements on each client served regardless of informed consent using a system generated client ID in place of personally identifying information.
Obtaining Client Consent. AGENCY will obtain the informed consent of the Client by having the Client sign the Consent form.
Obtaining Client Consent. In obtaining client consent, each adult Client in the household must sign the approved King County HMIS Client Consent to Data Collection and Release of Information form to indicate consent to enter Client identified information into HMIS. If minors are present in the household, at least one adult in the household must consent minors by writing their names on the Client Consent to Data Collection and Release of Information form. If any adult member of a household does not provide written consent, identifying information may not be entered into HMIS for anyone in the household. Unaccompanied youth aged 13 or older may consent to have their personally identifying information entered in HMIS.
Obtaining Client Consent. In obtaining Client consent, each adult Client in the household must sign the HMIS Client Release of Information (or a Commerce-approved equivalent release document) to indicate consent to enter Client identified information into HMIS. If minors are present in the household, at least one adult in the household must consent minors by writing their names on the HMIS Client
Obtaining Client Consent. Agency shall post the HMIS Notice of Privacy Practices document prominently at each intake desk (or comparable location). The Client’s consent for data collection may be inferred from the circumstances of the collection and this posting.
Obtaining Client Consent. Clients MUST be provided a notification and consent form that explains HMIS and why their personal information is being collected. Consent of the individual for data collection may be inferred from the circumstances of the collection:
Obtaining Client Consent. In addition to posting the HMIS Client Privacy Rights document prominently at each intake desk (or comparable location) as required by Section 3 of this Agreement, the Agency will obtain from each Client whose identified information is to be entered into HMIS a signed written consent in the form of the HMIS Informed Consent and Release of Information Authorization Form attached hereto as Appendix E. The signed HMIS Informed Consent and Release of Information Authorization Form must be obtained from the individual Client before data entry for that Client can begin. The HMIS Informed Consent and Release of Information Authorization Form may be modified from time to time by the County.
Obtaining Client Consent. The Victim Services Provider shall post the Client Track Notice of Privacy Practices document prominently at each intake desk (or comparable location). The Client’s consent must be obtained for data collection. If at the time of collection, a Client withdraws or revokes consent for providing Personally Identifying Information, Victim Services Provider is responsible for immediately making appropriate data entries into the Client Track.
