MISSOURI DEPARTMENT OF SOCIAL SERVICES CHILDREN’S DIVISION STATEMENT OF CONFIDENTIALITY FOR ADOPTION STAFFING TEAM MEMBERS (May also be used for Adoption Staffing - Family Support Team Meetings)
On becoming a panel participant of the Adoption Staffing Team, I hereby agree to hold all information obtained in the course of the adoption staffing in the strictest of confidence. My signature implies that I respect the privacy of clients, the agency, agency personnel, foster parents, prospective adoptive families and children. Accordingly, I will share information received during this Adoption Staffing Team meeting only with other team members and as provided by Chapters 210 and 211 RSMo. I further understand that disclosure of information received during the adoption staffing is a Class-A Misdemeanor (punishable by a fine of up to $1,000.00, and/or a jail sentence of up to one year) as defined by Section 210.150 RSMo. My signature below constitutes understanding of the above information for this adoption staffing.
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