All information contained in a resident's case file shall be considered privileged and confidential. Records will be stored at the residence in a secured area.

Each person is aware that certain employees of Triangle and DDS have access to their records on an as needed basis without special permission. These persons include Executive Director, Director of Residential Services, Program Managers, Case Managers, Relief Staff and DDS Service Coordinators. These persons, when using information contained in these records, shall respect the confidential nature of the material.

In addition, a resident and his/her legal guardian have access to the records upon written request. For residents under 21, parents may also request information from the records.

Any other persons not designated herein, who require information from the records, shall request that information from the Director of Residential Services or designee. The request will be explained to the resident and the legal guardian, and he/she will be asked to sign a release of information form. A record of persons using the files, along with the signed release, shall be kept in each resident's file.

I understand and agree to the above policies and procedures concerning information in my records. This consent expires in one year.