Women's Crisis Services Women's Crisis Services


WCS Confidentiality Agreement

Each employee, volunteer, and Board member is expected to read and sign the following statement within seven days of hire or appointment.


I,__________________________, understand and agree to adhere to the policies concerning confidentiality as personally explained to me by members of the Women's Crisis Services staff. I will not discuss any specific information concerning individuals seeking assistance of the Women's Crisis Services unless I have written permission from the individual or until the need for such communication outside the agency has been clarified and justified.


Signed:_____________________________

Date:_______________________________

Witness:____________________________


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Women's Crisis Services is a Monadnock United Way Agency.
Women's Crisis Services of the Monadnock Region, 12 Court St. Keene, NH. 03431
Women's Crisis Services of the Monadnock Region, 47 Peterborough St. Suite B,
Jaffrey, NH. 03452

All graphics are the property of Women's Crisis Service's of the Monadnock Region, and New Hampshire Coalition Against Domestic and Sexual Violence, © Copyright 2002
Web site designed by Trudy Emmerick