This request and authorization applies to:
Information in accordance with WAC 110-60A requires that state certified treatment programs notify the victim, current partner, the victim’s community advocates and legal advocates with certain information that includes entry into treatment, termination from the treatment program, and any other information related to victim safety. This release allows the certified program to communicate with the victim during the assessment and treatment process. This release allows the certified program to notify the victim that the participant has been accepted or rejected for treatment. This release also allows the certified program to notify the victim of any significant changes in the participant's treatment plan or noncompliance with treatment, and
allows certified program to contact the victim if their safety appears to be at risk due to the participant's potential for violence or lethality. Also, the release to receive and provide information regarding the participant with child protective services, child welfare services, other child services, or DSHS.