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Notice to Clients of Uses and Disclosures

NW Social Service Connections

NW Social Service Connections
Notice to Clients of Uses & Disclosures
Privacy Notice

This notice tells you about how we use and disclose your private personal information. It tells you about your rights and our responsibilities to protect the privacy of your private personal information. It also tells you how to notify us if you believe that we have violated any of your rights or any of our responsibilities.

We are required by law to maintain the privacy of your private personal information. We must follow the terms of this notice that are currently in effect. We reserve the right to change this Notice at any time. This Notice is not a legal contract. If this notice is changed, a copy of the revised notice will be available upon request or posted on our website. You may request a copy of our notice at any time. For more information about our privacy practices, or for additional copies of this notice, please contact us using the information listed at the end of this notice.


NWSSC CMIS/HMIS Privacy Notice to Clients Page 1 of 1 09/06/2017
• Our agency enters personal and demographic information about you into a
computerized record-keeping system.
• The information is used to plan delivery of services & to provide statistical information
for setting goals.
• Information you provide will be used for administrative and operational purposes to
improve, provide & coordinate services that can be offered you.
• Information you provide will be used for functions related to payment or
reimbursement for services, monitor program effectiveness, and to prepare reports and
statistical information without personal identifying information.
• If you have safety concerns, you may not want personal information entered into the
system, you should discuss this with a staff member.
• Personally identifying information may be seen by staff members who provide you
with services, select community service providers when appropriate, and a small
number of people (ie: system administrators or program funders) who maintain the
computerized record-keeping system, except as required by law.
• You will not be denied services, if you refuse to consent to share data.
• You have the right to see your record and to ask that it be corrected.
• You have the right to file a grievance if you feel you have been harmed in some way by
the use of the computerized data system.
complete statement of your information rights, please ask a staff person for a copy of
our Privacy Policy. If you have any questions about our computerized record-keeping
system and how it might affect you, feel free to talk about your concerns with a staff

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Notice to Clients of Uses & Disclosures for Posting 2017.09