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Social work confidentiality statement example

Social work confidentiality agreement template 2025

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The document outlines the confidentiality policies for students in the Social Work Department at Appalachian State University, emphasizing their professional responsibilities to protect client privacy during field placements. It details guidelines for maintaining confidentiality, including adherence to NASW’s Code of Ethics, restrictions on sharing identifying information, and the importance of discretion when discussing agency-related matters.

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Click ‘Get Form’ to open the social work confidentiality agreement template in the editor.
Begin by entering your name and the date in the designated fields at the top of the form. This personalizes the document and establishes accountability.
Review each statement carefully, ensuring you understand your responsibilities regarding client confidentiality as outlined in the document. Familiarize yourself with NASW’s Code of Ethics.
In the section regarding agency policies, confirm that you are aware of and will adhere to these guidelines. You may need to consult with your Field Instructor for clarity.
Sign and date the form at the bottom, ensuring that both you and your Field Instructor/Supervisor complete this step to validate the agreement.

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What is an example of a statement of confidentiality?

A confidentiality agreement should include the names and addresses of the parties to the contract. Consider also including: Reason for the agreement: Explain why youre sharing this information. The information disclosed: Be specific about the subject matter and what exactly is included in the agreement.

What is the confidentiality principle in social work?

National Association of Social Workers (NASW) Requirements The general expectation that social workers will keep information confidential does not apply when disclosure is necessary to prevent serious, foreseeable, and imminent harm to a client or other identifiable person.

What are the confidentiality rules for social workers?

1.07 Privacy and Confidentiality. (a) Social workers should respect clients right to privacy. Social workers should not solicit private information from or about clients except for compelling professional reasons. Once private information is shared, standards of confidentiality apply.

Can you make your own confidentiality agreement?

You dont need a lawyer to create the agreement, but you may need someone with legal expertise to review it. We recommend consulting with a legal expert to ensure your agreement fully protects your organisations interests when the document is first created.

What are the limits of confidentiality in social work?

Ethically, social workers must obtain informed consent from clients before sharing confidential information with third parties. Clients need to be fully informed of how their information will be used, stored, and shared, including electronic data risks.

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What is the confidentiality policy of social work?

Confidentiality is a core value and ethical principle of social work practice. It protects the privacy and dignity of clients, fosters trust and respect, and enables effective service delivery.