Case Conference and Meeting

Confidentiality Agreement – Case Conference and Meeting
We, the undersigned, do agree that as participants in the Case Conference and Meeting for Philip Stockinger
, that we will maintain confidentiality and not disclose any information shared in the conference with
insignificant others. We understand that the information share is for the sole purpose of case assessment,
planning and monitoring for this client’s case.
We understand that the client has placed the following further conditions of this agreement:
RELATIONSHIP ADVICE
DEVELOPED SKILLS
FRIENDLY NATURE
Name Position Organisation/Service Signature Date
Kiara Henderson case manager OPERATION’S HOPE Kiara Henderson 23rdjuly
Dylan Nyhan SUPERVISOR OPERATION’S HOPE Dylan Nyhan 23rdjuly
LMN SERVICE
PROVIDER1
OPERATION’S HOPE
LMN 23rdjuly
QRS SERVICE
PROVIDER2
OPERATION’S HOPE
QRS 23rdjuly
MNO SERVICE
PROVIDER3
OPERATION’S HOPE
MNO 23rdjuly
Witness by:
Name of Client
Philip Stockinger
Signature
Philip Stockinger
Date
23rdjuly,2020
Name of Case Manager
Kiara Henderson
Signature
Kiara Henderson
Date
23rdjuly,2020
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