BCFC- NCMI Hub Guest Confidentiality Agreement BCFC - NCMI Hub Guest Confidentiality Agreement Este campo está oculto cuando se visualiza el formularioGUIDEste campo está oculto cuando se visualiza el formularioGUTYPEEste campo está oculto cuando se visualiza el formularioreqCodeEste campo está oculto cuando se visualiza el formulariouserEmail Este campo está oculto cuando se visualiza el formularioSubmission Date (Admin Only) MM barra DD barra AAAA The Bilal Newcomer Community Mobilization Initiative (NCMI) Hub is an advisory group that works to coordinate and mobilize services for individuals/families facing barriers within systems. I am attending the Bilal NCMI Hub meeting for the purposes of sharing information on an individual or family I have referred to the project. I understand my roles and responsibilities associated with information sharing as follows: I will only share identifying and relevant information if the participating individual/family has given verbal or written informed consent. I will only share personal and individual/family information relevant to the current situation. I will keep all information heard at the meeting in the strictest of confidence. I understand that all Hub members present at the Hub table are also bound by confidentiality. Guest InformationMy Name(Obligatorio)My Agency Name(Obligatorio)Hub Meeting date(Obligatorio) DD barra MM barra AAAA Guest Signature(Obligatorio)Witness informationWitness TitleWitness Name(Obligatorio)Witness Signature(Obligatorio) Note: The witness should be a member of the Bilal NCMI.
