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EMPLOYEE INTAKE QUESTIONNAIRE THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA EMPLOYEE ASSISTANCE PROGRAM Office Use OnlyPLEASE Princeliest # :LAST NAME Sex:Mandate :FIRST NAME. I. Females 4 digits of
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Read through the confidentiality and consent form carefully to understand the information being requested.
02
Fill out all personal details accurately, such as name, contact information, and any relevant identification numbers.
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Sign and date the form to indicate your agreement to adhere to the confidentiality agreement and provide consent to the outlined terms.
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Who needs confidentiality and consent to?

01
Anyone participating in a research study or clinical trial.
02
Patients seeking medical treatment or counseling services.
03
Individuals receiving confidential information or services from a professional or organization.
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Confidentiality and consent forms are documents that outline how personal information will be handled and who has permission to access it.
Any individual or organization that collects personal information from others is required to file confidentiality and consent forms.
Confidentiality and consent forms can be filled out by providing the necessary personal information and signature to indicate consent.
The purpose of confidentiality and consent forms is to protect the privacy and security of personal information.
Confidentiality and consent forms typically require the individual's name, contact information, and a statement of consent.
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