Mississippi Administrative Code
Title 18 - HUMAN SERVICES
Part 6 - Division of Family and Children's Services
Chapter 1 - DFCS Policy Manual
Section 18-6-1-D - Foster Care Policy
Section 18-6-1-D-XII - APPENDICES
Appendix 18-6-1-D-XII-Q - Confidentiality Form

Current through September 24, 2024

Statement Regarding Confidential Information

In order to protect the alleged victim, alleged perpetrator, and the facility, and in order for the Department of Human Services to conduct a fair and impartial investigation, I agree not to discuss with anyone other than Law Enforcement staff the contents of any interviews conducted with me by the Department of Human Services, nor to discuss any allegations of abuse/neglect regarding the above, due to confidentiality requirements of the Youth Court Act, Sections 43-21-251 thru 267.

Signed: ___________________________

Date: _____________________________

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