Bridges for Women Online Program: Informed Consent
Sign in to Google to save your progress. Learn more
Please enter your first name and last initial: *
E.g. Brenda Lee = Brenda L
PRIVACY & CONSENT
What you share in writing or by speaking with a Bridges staff member or supervised practicum student is private and confidential information within our agency. Your expressed written consent is necessary for us to release confidential information to anyone outside our agency, unless required by law.

Limits of Confidentiality
We are legally obligated to break confidentiality if:
There is an immediate threat to a person’s physical safety (yours or another’s)
There is reason to believe a child is at risk of, or is currently, being neglected or abused
We are summoned with a subpoena
*
The Bridges Online Program is delivered using the learning management system, Moodle. Information stored withing the Moodle platform is used for education purposes only and will not be used or shared with any party outside of our organization.
*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy