Your
privacy is crucial to us. PelotonU realizes you confide in our ability to
maintain the privacy and confidentiality of your personal information while
providing exceptional services. Please review the following Participant Notice
of Rights and Confidentiality Agreement.
As a
participant of PelotonU, you have
the following rights regarding the confidentiality of your personal information
and communications with PelotonU staff
and volunteers:
- The information that you provide to PelotonU, including
your name, address, phone number, and other personal information will not
be shared with other individuals or organizations without your permission.
- Some general information about the types of services
provided and overall demographics (e.g., age and income ranges, average
number of children, ethnicities) of people that participate in PelotonU must
be shared with the agencies that fund PelotonU. However, information that
specifically could identify you as someone who participates
in PelotonU will
never be shared unless authorized by you.
- In the event that you were referred to
PelotonU by a partner organization or employer, you agree to allow
PelotonU to share relevant information about your participation with the
partner organization. You will be told, in general, what each partner’s
obligations are to keep your information confidential. If you wish to not
have your information shared with a partner organization, let a PelotonU
staff member know. If you choose to have PelotonU share some of your personal information with
an agency we partner with, you will be told exactly how and what
information will be shared. If you later decide that you don’t want the
information you have provided to be shared with any of PelotonU’s partners, let us know and
we won’t share any more information with those partners.
- PelotonU staff may be required by law to
report certain situations even if you don’t give them permission to share
or report the situations, such as suspected child abuse or neglect. This
includes but is not limited to threats to self or others, elder or at-risk
adult abuse, child abuse, commission of a crime or a civil claim against
PelotonU participants or staff. Staff will inform you of any reporting requirements prior to having
conversations with you and will tell you when they must make a report and
what information will be shared. Even when these reports are
made, PelotonU should not
share information beyond what is required by law.
- If you have any questions or concerns about
this notice or your rights, or if you have a concern that your
confidential information was not treated appropriately, please contact Lacey Pittman Tomanek, Executive Director at 214-636-7576 or lacey@pelotonu.org.
By signing below, I have received and read this notice of my rights to confidentiality as a participate in PelotonU's program.