INFORMATION SHARING AGREEMENTInformation Sharing Agreement • July 14th, 2021 • Washington
Contract Type FiledJuly 14th, 2021 JurisdictionInformation Recipient Information Provider Organization Name Washington State Department of Children, Youth, and Families (DCYF): Early Support forInfants and Toddlers (ESIT) Washington State Department of Health (DOH): Early Hearing, Detection, Diagnosis, and Intervention (EHDDI)Program Business ContactName Karin Neidt Title ESIT DMS Product Owner EHDDI Program Manager Address PO Box 40970Olympia, WA 98504-0970 1610 NE 150th StShoreline, WA 98155 Telephone # 206-418-5609 Email Address Karin.Neidt@doh.wa.gov IT Security Contact Title Chief Information Security Officer (CISO) DOH Information Security Officer Address PO Box 40970Olympia, WA 98504-0970 PO Box 47890Olympia, WA 98504-7890 Telephone # 360-236-4432 (office)360-236-2290 (emergency) Email Address security@doh.wa.gov PrivacyContact Name Title Data Integrity Manager Acting Privacy Officer Address P. O. Box 40970 PO Box 47890