• Preschool Parental Consent to Use E-mail to Exchange Personally Identifiable Information During COVID-19 Emergency

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  • At your request, you have chosen to communicate personally identifiable information concerning your child’s preschool services by e-mail without the use of encryption. Sending personally identifiable information by e-mail has a number of risks that you should be aware of prior to giving your permission. These risks include, but are not limited to, the following:

    • E-mail can be forwarded and stored in electronic and paper format easily without prior knowledge of the parent.
    • E-mail senders can misaddress an e-mail and personally identifiable information can be sent to incorrect recipients by mistake.
    • E-mail sent over the Internet without encryption is not secure and can be intercepted by unknown third parties.
    • E-mail content can be changed without the knowledge of the sender or receiver.
    • Backup copies of e-mail may still exist even after the sender and receiver have deleted the messages.
    • Employers and online service providers have a right to check e-mail sent through their systems.
    • E-mail can contain harmful viruses and other programs.
  • Parental Acknowledgement and Agreement
    I acknowledge that I have read and understand the items above which describe the inherent risks of using e-mail to communicate personally identifiable information. Nevertheless, I *   *   authorize Little Angels Center whose email address is cpse@littleangelscenter.com to communicate with me at  *     concerning my child *   *   to participate in the Preschool Telepractice Related Services including but not limited to communication regarding service delivery, his/her progress and any other related matters, I understand that use of e-mail without encryption presents the risks noted above and may result in an unintended disclosure of such information.

  • (Optional) In addition, I give permission for members of my child's treatment team to communicate personally identifiable information concerning my child with each other using unencrypted e-mail. Preschool team members who I give permission to use unencrypted e-mail to communicate with each other about my child include:

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