Permission for intake notes: the organization will keep your answers and evaluation notes in its approved systems so authorized intake staff can review your request and follow up safely. This does not authorize recording, transcription, public use, contact with outside people, or advocacy on your behalf.
Please do not include Social Security numbers, account numbers, full medical or court records, or another person's detailed history. If you are contacting us for someone else, share only what you are permitted to share.
If you do not want us to keep intake notes, do not submit this form. You can ask about the process or accessible ways to make a request at hello@speakspectrum.com before sharing private details. Records follow the organization's preservation and review rules; withdrawal is not a promise of immediate deletion.