I understand that I am being referred to Human Development Company by my supervisor for concerns impacting the workplace. As a part of my work with Human Development Company, I understand that communication between my Supervisor and HDC are essential. I understand that communication between my affiliate counselor and HDC is also essential.
Examples of the details that may be shared (but are not limited to) include:
1. Scheduled appointments and attendance.
2. Recommendations to supervisor regarding workplace resolution.
3. Your compliance with the counselor’s recommendations.
4. Your discharge summary.
I authorize Human Development Company to release my information to: