Fostering Family: Receipt Of Notice Of Privacy Practices Intake forms are securely encrypted and HIPAA compliant. Fostering Family: Receipt Of Notice Of Privacy Practices ID # CLIENT LAST NAME(Required)CLLENT FIRST NAME(Required)EMAIL(Required) DOB(Required) MM slash DD slash YYYY GUARDIAN NAME & RELATION TO CLIENTIF CLIENT IS LESS THAN 14 YEARS OF AGE, A PARENT/GUARDIAN MUST SIGN.ACKNOWLEDGMENT(Required) I have received a copy of the NOTICE OF PRIVACY PRACTICES I have chosen NOT to receive a copy of the NOTICE OF PRIVACY PRACTICES