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HomeFormsAcknowledgment of Data Collection and Consent to ShareData Privacy Notice, Acknowledgment, and Consent - Spanish

1.2. Data Privacy Notice, Acknowledgment, and Consent - Spanish

This document contains the following components:  

Staff Instructions

Derechos de Clientes (Client Rights)

Reconocimiento de Recolección de Datos y Consentimiento para Compartir Datos (Acknowledgment of Data Collection and Consent to Share)

Aviso de Privacidad de Datos (Data Privacy Notice)

Clients should complete the Acknowledgment of Data Collection and Consent to Share (Reconocimiento de Recolección de Datos y Consentimiento para Compartir Datos) before their information is entered in HMIS. Clients should complete this form yearly. A verbal (over the phone) version is nto avilable in Spanish.

The Posted Data Privacy Notice must be displayed in your agency's client intake area. A Spanish version of this notice is available on Page 4 of this document.

Please email feedback, suggestions, or new form requests to hmis@cohhio.org.

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