The Bilal Newcomer Community Mobilization Initiative (NCMI) Hub is an advisory group that works to coordinate and mobilize services for individuals/families facing barriers within systems.

I am attending the Bilal NCMI Hub meeting for the purposes of sharing information on an individual or family I have referred to the project.

I understand my roles and responsibilities associated with information sharing as follows:

• I will only share identifying and relevant information if the participating individual/family has given verbal or written informed consent.
• I will only share personal and individual/family information relevant to the current situation.
• I will keep all information heard at the meeting in the strictest of confidence.

I understand that all Hub members present at the Hub table are also bound by confidentiality.

Note: The witness should be a member of the Bilal NCMI.