BCFH - Online Services Permission Form

Online Services Permission Form
BC Family Hearing Resource Society (BCFHRS) provides both in-person and online services. To optimize service delivery, it can be useful for you to receive some services online. This may be done using video streaming applications. We need your permission to provide our services via these online options.

Video streaming applications allow users to transmit video over the internet, and/or to share various kinds of files. You need to be aware that sending information via these public video streaming applications e.g. Zoom/FaceTime/WhatsApp/Microsoft Teams, includes a risk of personal information being accidentally disclosed to other people (e.g. on the web).
Do you authorize BCFHRS to provide services to your family online?*

Yes, I give permission to BCFHRS to provide services through the platforms indicated below.No, I do not give permission.
Zoom, FaceTime, WhatsApp and Microsoft Teams are more secure compared to other streaming applications and, as such, are preferable for the services we provide. Please select all the options that you consent to use:

ZoomFaceTimeWhatsAppMicrosoft Teams
This agreement will be reviewed annually.

By signing below, I confirm that I agree to the terms laid out above.
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Name of parent/legal guardian filling out this form*

First NameLast Name
Today's Date*

MonthDayYear
Date
Signature*
If you wish to be sent a digital copy of this form, please enter your email address here.
example@example.com
Should be Empty: