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Confidentiality Statement for Classroom or Therapy Observations
The Illinois School Student Records Act, federal Families Education Rights and Privacy Act,
federal Health Insurance Portability and Accountability Act (HIPAA), and their respective
regulations protect the confidentiality of medical, educational, and personal information of
students. Such information may not be disclosed except as authorized by law or as authorized
by student’s parent/legal guardian. These privacy laws and regulations apply to all persons,
including all persons conducting observations in educational settings. All observers are required
to agree to and sign this confidentiality statement.
I understand that, as an observer, I may see, hear, or be exposed to confidential information about
students, such as medical information, information about a student’s disability, educational
performance, and educational services received, or other educationally related information about
a student.
I acknowledge that it i