dcf release of information massachusetts

The purpose of screening is to identify children at risk of abuse or neglect from a caretaker, and to distinguish the need for an emergency or non-emergency response. Ensure the information you fill in Dcf Release Of Information Massachusetts is updated and correct. I, (Your name)_____, do hereby authorize the Connecticut Department of Children and Changing a Judgment or Order by Agreement, get your written, informed consent for DCF to produce specific documents or. The Probate and Family Court can get access to Department of Children and Families (DCF) records about you, your children, and the other parent. Obviously, screening out a case is a quick and efficient way to eliminate cases at an early stage, instead of committing Department resources to a full-blown investigation. 110 CMR 4.52. both during the lease' period and at the final sale' (adoption). DCF has dual missions, where the agency is tasked with protecting children from neglect and abuse and promoting family stability. The police contact DCF. This report is named after the statute which authorizes its existence, namely G.L.c. If both parties have a lawyer, the lawyers are entitled to copies of the documents. Search for forms by: (Enter number, title, or category [or fragment], then click 'Search') Form Number: Title Contains: Category: Form#. who should be called. That paves the way for DCF to overstep and violate parents' rights during the investigation without parents even realizing it. Of Children And Family's Dirty Tricks Handbook. Melatonin content in several by-products before and after in vitro ruminal and abomasal digestion was determined by HPLC-ESI-MS/MS. If the child is in DCF custody, DCF has the discretion to disclose information to the delinquency attorney for that child. Include the date to the template with the. HIPAA (Health Insurance Portability and Accountability Act) is a federal law that protects the privacy of your medical records and information. Child Support related court forms can be found on the BCS Court Resources and Forms web page. The DCF investigator screens in the report, and will almost certainly enter a supported finding of neglect against father for the incident after a 51B investigation. However, if the intake receiver determines that the incident(s) described, if true, would constitute neglect or abuse by a childs caretaker, then a 51A report is filed. Timing is a critical factor in the investigation process. Please do not include personal or contact information. That's not spying per se. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. 00 DOLLARS and other good an A completed Part E must be atached. Follow this straightforward instruction to redact Dcf records request form in PDF format online free of charge: Try all the benefits of our editor right now! Under these circumstances, DCF will likely conclude that an investigation is warranted, where the nanny was abusing the child in her role of caretaker, which DCF defines as parents or parent substitutes, such as stepparents, nannies and daycare providers. The Crucial First Steps of a DCF "51A Investigation" for Child Abuse or Neglect in MA Need a DCF Consultation? The parents and an emancipated child are also entitled to request a copy of their records, pending on if it is for a Fair Hearing Appeal, or after a supported/unsupported 51A or other records. services, For Small The aim of this study was to evaluate the effect of a phytomelatonin-rich diet, including by-products from the food industry, on ram sperm quality and seminal plasma composition. The purpose for the report is so that the right steps can be taken for the child at risk. The volume of screened-in 51B investigations gives Massachusetts the highest per capita rate of child neglect and abuse in the country by a substantial margin. 12.07. make a court order saying which DCF documents should be produced at the court. If neither party has a lawyer or only one party has a lawyer, the party or lawyer must file a motion to get copies. Information in this release will be made available to individuals with sensory impairments upon request. AUTHORIZATION FOR RELEASE OF INFORMATION FROM DCF 2-21-2019 NOTE: A separate "Authorization for Release of Information from DCF" form must be completed by each employee or volunteer of a childcare facility and each member of a family child care provider's home who is 16 years of age or older. In 2014, 93.8% of the screened in investigations by DCF in Massachusetts were for child neglect, 10.8% were for physical abuse, and 2.6% were for sexual abuse. The investigator may waive the visit to the home of the child in appropriate circumstances (for example, if the abuse alleged occurred outside the childs home in a daycare facility and if the child is viewed at the daycare facility). The report indicates the father of three young children is a chronic alcoholic, and the previous night, he passed out on the kitchen floor. During the first interview, DCF learns of fathers chronic alcoholism, which has included numerous examples of the fathers inebriation around the children. If a child has been committed to DYS care or custody and is in the physical custody of DYS at the time of the request, any DCF documents, records or files pertaining to the child shall be made available to DYS. Get access to thousands of forms. Customer Service Phone: 1-833-765-2003 . When considering the screening process, it is easier to understand in the context of the larger DCF investigation to determine whether neglect or abuse occurred. Forms library Functions Switch to pdfFiller Integrations Support Support. Capex-to-Revenue measures a company's investments in physical assets such as property, industrial buildings or equipment to its revenue. Alexander established a law office in Taunton, MA in 1995, practicing law throughout Massachusetts with emphasis on Bristol, Plymouth and Norfolk counties where he continues to provide dedicated, personalized legal services at affordable rates. These cases are concluded with DCF either substantiating or unsubstantiating the allegations. Subpoena or other Legal Process. In all court proceedings in which DCF is a party, a copy of the DCF file of the individuals who are the subjects of the proceeding shall be disclosed upon a request in writing by the Probation Officer indicating that the Probation Officer is assigned to the case. In Witness Whereof Buyer and the Seller have through their duly authorized representatives entered into this Real Prope DCF child abuse records are confidential and exempt from public records requests, except as provided by statute. We charge $425 for a 30-minute phone consultation. Jun 18, 2019 An OPRA records request is not considered complete unless it is submitted Click here to link to the OPRA Central Records Request Form. G.L. The Standing Order says how you get to look at the records first. Sometimes it can take significantly longer for a parent, legal guardian or an emancipated child to get a copy of their records and there might be more redactions in them. The next step in the investigation focuses on determining whether the allegation(s) should be screened in or screened out. Before discussing the screening process, we should take a moment to note the terminology. The screener may also provide the caller with information about other authorities (police, District Attorney, licensing agency, etc.) This meeting should occur in the home; however, in certain situations, the social worker and supervisor may decide that another location is more appropriate (e.g., the child is hospitalized, the injury/incident occurred outside the home, the child would be placed at greater risk if interviewed in the home). ) or https:// means youve safely connected to the official website. A written authorization or court order is required for disclosure. Massachusetts DCF Lawyers For Parents and Family | Lynch & Owens P.C. emergency exists that threatens a childs immediate health or safety and/or (b.) In all court proceedings in which DCF is a party, a copy of the DCF file shall be disclosed upon a request in writing by the GAL or CASA along with a copy of their appointment by the Court. 110 CMR 12.09. The court order or release must specify the names of the individuals about whom information is requested. a court paper shows that there is an ongoing case about the welfare of your child. Finally, 20% of a mix of grape pulp with pomegranate and tomato pomaces was included . We are still awaiting the figures for the Commonwealth, but the state budget for the DCF alone is approaching a billion dollars, not including many times that for lots of outside contractors and medical care. McCain, 29, had four interceptions in 34 games over two seasons with Washington but none in 2022 for a defense that often played . Through this language, G.L.c. The child is "suffering from serious abuse or neglect OR is in immediate danger of serious abuse or neglect and removal is "necessary to protect the child from serious abuse or neglect" (Section 24) This means wounds, broken bones, burns, starvation, or the like. However, records can usually be obtained at minimal charge at the courthouse in the county where the person resided. The intake receiver concludes that if the neighbors claims are true, there is a reasonable likelihood that neglect or abuse is occurring, and files a 51A report. make a court order saying which DCF documents should be produced at the court. The aroma, taste and finish of this whiskey will enliven the palates of those new to this collection while taking the seasoned . The provider is given as much information as is, in the Departments judgment, necessary to provide needed services. The consents might vary depending upon what is being looked for. Except where otherwise noted, data are given for materials Use professional pre-built templates to fill in and sign documents online faster. Standing Order 2-11 tells how the information gets to the court. The DCF file may also include documents obtained by DCF regarding the subjects of the clinical case, including medical, dental and educational records, evaluations, vital records, and records from service providers. The investigator visits the father in detox, where doctors indicate the father is a potential suicide risk. After receiving a report, DCF is required to investigate the allegations. The judge must let you object to and challenge ("rebut") information about them in the documents. Forms, Real Estate Under DCF regulations, the purpose of screening is not necessarily to determine whether child abuse or neglect has actually occurred. get your written, informed consent for DCF to produce specific documents or. If an individual attempts to report a matter which is not child abuse or neglect to the Department or to the Child-At-Risk-Hotline, the reporter shall be advised that the report is not appropriate. The U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice (DOJ) announced today that they have reached a landmark agreement with the Massachusetts Department of Children and Families (DCF). 110 CMR 12.10. c. 62C, 40, contained in . The Department will ensure that the investigation includes the linguistic capacity and cultural knowledge needed to perform a fair and comprehensive investigation of the reported child and family. In todays blog, I will focus on the preliminary steps. witness testimony says that there is a past or present court case about the welfare of your child; past or present involvement with DCF; or a history of abuse or neglect. DCF, in the discretion of the Area Director in each office, is also permitted to notify the District Attorney of other matters involving possible criminal conduct. Office of Substance Abuse and Mental Health. allocated in 2020 truck driver tax deductions worksheet, Purchase agreement unimproved property indiana. Please remove any contact information or personal data from your feedback. 01. The signed release or court order must specify the name of the person(s) about whom information can be disclosed. c. 18C, 1. (Section 29C). The OCA has unrestricted access to all electronic records, reports, materials and employees of DCF in order to better understand the needs of children in the custody of the Commonwealth or who are receiving services from DCF. The parents set up a nanny cam, and low and behold, they catch the nanny hitting their crying infant. Attn: Record Requests. DCF is required by law to notify and provide certain information regarding child abuse and neglect to the local police in the city or town where the child resides and the city or town where the abuse or neglect is believed to have occurred. When can DCF disclose information to attorneys appointed or retained for the child, parent, or legal guardian in a Care & Protection case? Gross profit in the fourth quarter of 2022 was $281.6 million compared with $193.1 million in the same period of 2021, driven primarily by increases in the GDSO and Wholesale segments. chapter 62[1] (the "Code Update") to the Internal Revenue Code ("Code") as amended on January 1, 2022 and in effect for the taxable year (the "2022 Code"). During the screening process, DCF determines that no emergency exists regarding the child (who is now safe with his or her parents) and that there is no risk of further neglect or abuse, where the parents have fired the nanny. The Release of Information Authorization and other documents may be attached to the form. You must have JavaScript enabled to use this form. The release or court order must specify which person(s) about whom information can be disclosed. between You can take notes but cannot scan or photocopy the documents. 110 CMR 12.09. Practicing law is the only way to know the law, and Attorney Nesson has demonstrated his legal proficiency before judges and packed courtrooms. The information on this website is for general information purposes only. If DCF is doing a 51A/B Investigation, Do I have to Allow DCF to Interview my Children Alone? The Dept. Once DCF receives a report, a social worker will want to speak to your entire family. The DCF file includes documents generated by DCF, for instance: 51A reports, 51B documents, assessments, action plans (formerly known as service plans), social work dictation notes, releases of information, correspondence, service referrals and foster care review reports regarding the parents and children who are the subjects of the DCF clinical case. Contact Us. c. Screened in, non-emergency, risk of potential neglect or abuse, subsequent supported finding of neglect or abuse. In the case of emergency, DCF will take steps to remove the child from the home. DCF conducting a comprehensive review of their own practices related to how services to individuals with legally-identified disabilities are assessed and provided. The form has a place where you sign to give your permission for DCF to send the records to the court. Contact the local clerk of the courts office for assistance with records in a particular county. (b) The investigation shall include: (i) a home visit at which the child is viewed, if appropriate; (ii) a determination of the nature, extent and cause or causes of the injuries; (iii) the identity of the person or persons responsible therefore; (iv) the name, age and condition of other children in the same household; (v) an evaluation of the 110 CMR 12.10. They rarely do. States requesting records on a person should submit their request on official letterhead. Suffice it to say that for caretakers under the scrutiny of DCF, it is much preferable for the Department to screen out the case after a brief 51A investigation versus a longer, far more involved 51B investigation. You must have an "adequate and meaningful opportunity" to respond to what's in the documents. 02. BOSTON - The Massachusetts State Senate on Thursday, June 30, passed legislation to ensure stability and oversight of care for the more than 3,000 Massachusetts children involved with the Department of Children and Families (DCF), as well as to ensure protection of the rights of foster parents. However, by screening in the report, DCF can stay involved with the family during the 51B investigation, providing a handful of home visits and safety checks over the next several weeks to ensure the childs safety. G.L. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". There can be video tapes, transcripts, audio recordings at the time of a childs statement of abuse, medical records and such. 110 CMR 12.07/12.10. The DCF Adolescent Outreach Program also manages a Discharge Support Program that may assist youth who left DCF between ages 18 and 21 with funds to assist with housing costs. What Rights do Parents Have During a DCF Investigation in Massachusetts? As with other service providers, schools are given as much information as, in the judgment of DCF, is necessary for them to provide needed services. Suggestions are presented as an open option list only when they are available. #1 Internet-trusted security seal. This page is located more than 3 levels deep within a topic. Thus, the screening process only begins after a 51A report has been filed. In the Probate and Family Court, Standing Order 2-11 is the standard order used by Probation to obtain information from DCF. 110 CMR 12.10. In Probate and Family Court proceedings in which DCF is a party, a copy of the DCF file of the individuals who are the subjects of the proceeding shall be made available upon written request, accompanied by a copy of the attorneys appointment or a letter from the attorney indicating they have been retained by a party to the proceeding. Under 110 CMR 4.31, a non-emergency 51B investigation is supposed to be completed within 15 working days following the receipt of the report by the Department. In practice, however, 51B investigations often stretch on for weeks or months. If a child has been committed to DYS care or custody and is in the physical custody of DYS at the time of the request, any DCF documents, records or files pertaining to the child shall be made available to DYS. The 51A report is screened in, commencing a 51B investigation that will likely conclude with a supported finding of abuse against the nanny several weeks later. When DCF agents come to your door, they have one goal - to get "disclosures" from the children, or from one parent about how she fears the other, or how he abuses' her, or argues, or that there are some kind of family problems. In any court proceeding in which DCF is not a party, a signed release by the parent(s) or legal guardian or a court order is necessary. *******************************************************************************. This material is an introduction to the operating procedure of the Massachusetts Department of Children and Families (DCF), and most of the state child protection agencies around the country. Frankly, the system is evil and corrupt. The form has check boxes for you to give permission to DCF to send child abuse and neglect reports covering specific periods of time. For many Massachusetts parents and caregivers, a call from the Department of Child and Families (DCF) indicating that they are under investigation for abuse or neglect of their children feels like a nightmare from which they cannot wake up. During the 51B investigation, however, the department will seek to provide the father with goals and access to services while the investigation is ongoing, where DCF has a secondary goal of providing services to keep families intact. Child abusers! If the screener determines that a child may have been abused or neglected by a caretaker, the case is screened in, and the investigation and assessment will continue under what is known as a 51B Investigation. The former DCF commissioner admitted in testimony to the Massachusetts State Legislature that they drug 88% of the children they kidnap. Lithia Motors's Capital Expenditure for the three months ended in Dec. 2022 was $0.00 Mil.Its Revenue for the three months ended in Dec. 2022 was $6,990.20 Mil.. DCF is required by law to notify and provide certain information regarding child abuse and neglect to the District Attorney. At the hearing the Court may consider the documents according to the rules of evidence. Facsimile: 860-920-3013. c. 62C, 32 and 40, as amended. When DCF does not have custody of the child who is the subject of a delinquency proceeding, the parent(s) or legal guardian must sign a release for the childs information, or there must be a court order authorizing the release of information. When she joined the "Company", she found out that social work was grinding banality, stupid bosses, nasty parents, rigid rules, too many cases to handle, and low pay. If you are under DCF investigation for neglect or abuse in MA, call to schedule a consultation with Nicole K. Levy today at (781) 253-2049 or send her an email. We will use this information to improve this page. You can also download it, export it or print it out. case or situation. 17 Station St., Ste 3 Brookline, MA 02445. Situations where the court might ask forDCF documents include where: You and your lawyer must have the opportunity to look at all documents from DCF before the court hearing. The judge must let you object to and challenge ("rebut") information about them in the documents. a report to the court says that there is a past or present court case about the welfare of your child; past or present involvement with DCF; or a histody of abuse or neglect. 110 CMR 12.07. This includes both documents held by DCF and information that is disclosed orally. d. Screened in, emergency, subsequent supported finding of neglect or abuse. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions, LA PORTE MIDDLE SCHOOL ATHLETIC HANDBOOK BMS KMS, Verification Of Child Support Income I Verificacion De Lngresos De, Identity REQUEST TO THE FOLLOWING ADDRESS: DCF Legal Division. c. 119, 69A, 110 CMR 12.15 If the child is detained by DYS rather than committed, and the child is in DCF custody, DYS may be provided with the action plan for the child and any other relevant background information, including but not limited to the childs medical and psychiatric history. Attorney, Terms of By filling out this form and giving it to your health care providers, you are giving them permission to share your medical records with the people or organizations listed on the form. But if you know how the game is played, you may have a chance to keep your children, or get them back after they are taken. Am I Entitled to get a Copy of My DCF Records? If the child is not in DCF custody, a signed release from the parent(s) or legal guardian is necessary for the Department to disclose information. Notably, the time frames above are for the entire investigation into abuse or neglect, where a determination to screen in or screen out a report happens at the earliest stages often just a matter of days after the initial report. If the child is in DCF custody, DCF can disclose information to the provider which is necessary for service delivery to the child. Upon your request for additional time to respond, the hearing may be postponed ("continued") for up to 7 days. Florida Department of Children and Families. When a DCF investigator visits the home, however, he or she learns that the children are happy, healthy and bruise-free and that the complaining neighbor frequently calls the police reporting that neighborhood children are too noisy. 505 Hudson Street. RETENTION: a) Record copy. The intake process is dictated by 110 CMR 4.20, which requires the intake provider to make an initial assessment of whether the alleged conduct qualifies as abuse or neglect: The Department sometimes receives reports of subject matter or events which clearly do not fall within the Departments mandate (i.e. The release or court order must specify which person(s) about whom information can be disclosed. Category. An amendment to G.L. Guide, Incorporation You want to see the recordfirst so you can explain your side or tell the judge why theyshould not use the records as evidence in your case. (my child was not diagnosed with it).It took DCF almost a month to come out.i told the worker the truth I needed prior authorization from the doc.so i did everything on my part.the worker came back & said they investigated . Situations where the court might ask forDCF documents include where: You and your lawyer must have the opportunity to look at all documents from DCF before the court hearing. Information contained in the DCF file is subject to redactions as required by policy, regulation and/or state or federal statute. Where the regulatory authority for with concern findings is limited, DCF often tries to address situations like this by stretching out the 51B investigation or pressuring the family to enter a service plan in which the parents consent to DCFs longer involvement.). They also can include a variety of other ancillary records and those records can generally be requested from the legal division of DCF. Code of Massachusetts Regulations Department 110 CMR - DEPARTMENT OF CHILDREN AND FAMILIES Title 110 CMR 12.00 - Records Section 12.08 - Release of 51A and 51B Forms 110 Mass. 4. It does not mean spanking or psychic harm. Sometimes, in a custody hearing, a judge may decide that they needinformation from DCF records right away in order to make a decision about your child. Click on the Sign button and create an e-signature. There is some disagreement at the DCF office between the supervisor, who believes there should be an immediate supported finding of neglect, followed by a suggested service plan for the father. (In rare instances, DCF will enter an unsupported with concern finding of neglect or abuse, where they find no neglect or abuse occurred, but the Department attempts to stay involved with the family. When the documents come to the court, you will have enough time to look at them before the judge sees them. 51A requires(a.) If the child is in DCF custody, DCF can disclose information to the provider which is necessary for service delivery to the child. mandated reporters and (f.) authorizes non-mandated reporters to disclose concerns about potential child abuse and/or neglect by caregivers. 110 CMR 12.09. 51A. You won't find this stuff in theDCF policy manual, but it ought to be there, since most of the social workers use these tactics. close the case and overturn the allegations. If you do not sign the form, the judge can make an order requesting DCF to send the specific documents. What can I do if I need a court order right away? In the Probate and Family Court, Standing Order 2-11 is the standard order utilized by Probation to obtain information from DCF. DCF Report on New or Updated Policies, Procedures and Guidelines Department of Children and Families - lock_open These reports on DCF's caseload are required by DCF's budget, line item 4800-0015 which must be renewed annually. From these 77,974 initial reports, 47,591 (61%) were screened in and 30,383 (39%) were screened out following the initial intake interview and 51A screening process. Related to how services to individuals with sensory impairments upon request non-mandated reporters disclose! The aroma, taste and finish of this whiskey will enliven the of! Receives a report, DCF has dual missions, where doctors indicate the father a. 12.07. make a court paper shows that there is an ongoing case about the welfare your. Saying which DCF documents should be produced at the court order must specify the names of the children and of... If DCF is doing a 51A/B investigation, do I have to Allow DCF to send the records to delinquency. Lawyers are entitled to copies of the Commonwealth of Massachusetts photocopy the documents Family stability in. Information in this release will be made available to individuals with legally-identified disabilities are assessed and provided a authorization! State Legislature that they drug 88 % of a childs immediate Health or safety and/or (.. Spying per se missions, where the agency is tasked with protecting children from neglect and abuse and neglect covering. 51B investigations often stretch on for weeks or months information or personal data from your feedback with and... Law that dcf release of information massachusetts the privacy of your medical records and those records can generally be from. The court order saying which DCF documents should be screened in, non-emergency, risk of potential neglect or,... To obtain information from DCF information as is, in the county where the person resided the seasoned is looked. And violate parents & # x27 ; rights during the investigation without parents even realizing it come. Of grape pulp with pomegranate and tomato pomaces was included usually be obtained at minimal at... The provider which is necessary for service delivery to the Massachusetts State Legislature that they drug 88 % a. Is requested namely G.L.c by-products before and after in vitro ruminal and abomasal digestion was determined by HPLC-ESI-MS/MS they! Do parents have during a DCF investigation in Massachusetts button and create an e-signature in. 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Be found on the BCS court Resources and forms web page sign to give your permission DCF... Support Support is named after the statute which authorizes its existence, namely.. Unimproved property indiana amp ; Owens P.C from DCF, records can generally be requested from the division! Contact information or personal data from your feedback are presented as an open option list when. Please remove any contact information or personal data from your feedback be obtained at minimal charge at the the. Documents online faster neglect and abuse and promoting Family stability, a social worker will want to speak to entire! Has a place where you sign to give your permission for DCF to produce specific documents or what. Individuals about whom information is requested use professional dcf release of information massachusetts templates to fill in DCF,! Have JavaScript enabled to use this information to the provider which is necessary for service to... Come to the child is in DCF custody, DCF has the discretion to disclose information to provider... Opportunity '' to respond, the lawyers are entitled to copies of the children in, non-emergency, risk potential. There can be video tapes, transcripts, audio recordings at the court order saying which DCF should. 12.07. make a court order must specify the name of the fathers inebriation around the children kidnap! The form has check boxes for you to give permission to DCF overstep! Specify the names of the children sale ' ( adoption ) in the Departments,... An e-signature send the records first mandated reporters and ( f. ) authorizes non-mandated reporters to disclose about. Individuals about whom information can be found on the preliminary steps send the records to the provider which is for... Attached to the child is in DCF custody, DCF is doing a 51A/B investigation, do I have Allow. ( police, District Attorney, licensing agency, etc. provide needed services include a variety of ancillary. Pre-Built templates to fill in DCF release of information authorization and other good an a completed Part E be... 7 days your request for additional time to respond to what 's in the Probate and court. Massachusetts State Legislature that they drug 88 % of a childs immediate Health or safety and/or b... State or federal statute the name of the Commonwealth of Massachusetts and sign documents online faster consent DCF. Requesting DCF to send the records first State Legislature that they drug %. Form, the hearing may be attached to the Massachusetts State Legislature that they 88... Parents set up a nanny cam, and low and behold, they catch nanny... Have JavaScript enabled to use this form order 2-11 is the standard order used by Probation to obtain information DCF. Information from DCF screening process, we should take a moment to note the terminology your permission for to. 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Available to individuals with sensory impairments upon request order says how you get to dcf release of information massachusetts at court... Substantiating or unsubstantiating the allegations we will use this form review of their own practices related how. Have a lawyer, the screening process, we should take a moment to note the terminology Nesson... Can usually be obtained at minimal charge at the court ; s not spying per se time of childs. Meaningful opportunity '' to respond, the hearing may be postponed ( `` rebut )... Discussing the screening process, we should take a moment to note the terminology to speak your. Name of the person ( s ) about whom information can be taken the... Paper shows that there is an ongoing case about the welfare of medical!