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Telephone Outreach Setup Form

Telephone Outreach Setup Form

Personal Details
Marital Status
Regularity of Contact
Convenient Day/s
Time of Day
Frequency
Preference of Caller
Emergency Contact
Referrer Contact (if applicable)
Conditions
Privacy and Confidentiality
We record personal information from you that is relevant to your current situation such as your name, your phone number, your address and your preferred time to be called in our client record computer system. Our volunteers also keep brief records of the calls we make to you so they can keep up to date.

We adhere to the Privacy Act 2007 and your information is kept confidential and secure.

We may have legal obligations to disclose information to certain people in the following circumstances:
If our files are subpoenaed by a court of law
Failure to disclose information would place you or another person at serious and imminent risk
If you tell us you are going to commit a serious crime we may need to notify the police
If we become aware that children are being physically, sexually or emotionally abused or neglected we have a duty to inform Family and Community Services
If we are otherwise required or authorised by law 

Should one of these situations arise the CEO or Deputy CEO will authorise the release of your information.

If you have any questions about this please contact the One Door Telephone Outreach Service on 1800 843 539.

I have read the information about privacy and confidentiality* - required

Mandatory field(s) marked with *