Statement Regarding Confidential Information
In order to protect the alleged victim, alleged perpetrator, and the facility, and in order for the Department of Human Services to conduct a fair and impartial investigation, I agree not to discuss with anyone other than Law Enforcement staff the contents of any interviews conducted with me by the Department of Human Services, nor to discuss any allegations of abuse/neglect regarding the above, due to confidentiality requirements of the Youth Court Act, Sections 43-21-251 thru 267.
Signed: ___________________________
Date: _____________________________
Miss. Code. tit. 18, pt. 6, ch. 1, 18-6-1-D, 18-6-1-D-XII, app 18-6-1-D-XII-Q