The Butterfly Whisper, Inc Assistance Network, hereinafter referred to as "Oasis Insight", is a shared, computerized record keeping system that captures information about people experiencing need for emergency services, including but not limited to assistance with utility bills, medications, rent/mortgage payments, etc. Butterfly Whisper. Inc (Administrating Agency) administers Oasis Insight on behalf of participating agencies of the Oasis Insight Assistance Network, including Butterfly Whisper. Inc (Participating Agency
Iunderstand that all information gathered about me is personal and private and that I do not have to participate in Oasis Insight. I have had an opportunity to ask questions about Oasis Insight and to review the basic identifying information, which is authorized by this release for the Oasis Insight Assistance Network Participating Agencies to share. I also understand that information about non-confidential services provided to me by Oasis Insight participating agencies may be shared with other Oasis Insight Participating Agencies. This Release of Information will remain in effect for 3 years from the date noted under my signature at the bottom of this page unless I make a formal request to this Organization that I no longer wish to participate in Oasis Insight.
I authorize Butterfly Whisper. Inc. as a Oasis Insight Participating Agency, to share my basic, identifying and non- confidential service transactions/information with other Oasis Insight Participating Agencies. I authorize the use of a copy of this original to serve as an original for the purposes stated above. I further authorize Butterfly Whisper. Inc (Participating Agency), as a Oasis Insight Participating Agency, to share my dependent's basic, identifying and non- confidential service transactions/information with other Oasis Insight participating agencies.