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House of Sakinah

Self-referred

self-Referral Form

    Self-Referral Form

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    Confidentiality agreement

    As part of the helping process, Women Support Centre may collect and record personal information that is relevant to the current situation. All personal information gathered during the process, remains private and confidential, except when: 1. It is subpoenaed by court for legal proceedings 2. Failure to disclose the information would place you, someone known to you or the community at large at risk of harm.

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