Template Policy: Confidentiality and Privacy for Community Collaboration with Domestic Violence/Sexual Assault Advocacy Programs and Partners
This details policies for service provider understandings and responsibilities, victims' rights, guidelines for addressing system issues through the community collaboration, and, the limited sharing of client/victim information with collaboration partners.
Agencies and innovative partnerships are encouraged to use and adapt this model policy. You may change wording to match the language your agency or partnership prefers (e.g. client, victim, survivor, service participant). To adapt the template simply:
- add information relevant to your specific agency, partnership and funders;
- insert your [program/agency/partnership/collaboration names] and letterhead; and,
- remove generic template blue instruction notes and other notices.
Distribution Permissions: Published June 2008. May be reproduced or adapted for nonprofit or educational uses with acknowledgement of authors and/or publisher.
Request this Template: We do not post this template online, but you may request that we email it to you using our Request this Template Form.
This template is also available in Spanish. Please contact us here to request the Spanish version. (Select "Safety Net/Technology Safety" under Subject to ensure that it goes to the right team.)