Racine County Sexual Assault Response Team 
Case Review Confidentiality Form 
 
Review Process. The mission of the Racine County Sexual Assault Response Team (S.A.R.T.) is to promote a systemic response that holds sexual offenders accountable and fosters a community sensitive to the needs of sexual assault survivors. This will be done through the collaborative and coordinated multidisciplinary response of the agencies and organizations that work with sexual assault survivors in Racine County.  
 
The purpose of the SART Case Review process is to ensure that sexual assault cases in Racine County are handled in a way that promotes our mission. However, it is critical to acknowledge the sensitive nature of the information being discussed, and the importance of maintaining the confidentiality of the victim whose case is being reviewed. In addition, it is important to be aware of the limits of Advocate and/or Client privilege that some of the SART members may be restricted by.  
 
Each individual representative and agency is responsible for maintaining confidentiality to the extent required by law and accepted practice. Each member of the team is bound by his or her professional ethics to share information outside the case review process only to the extent allowed by law and required by professional responsibilities.  
 
As a SART member, or invited participant, I agree that I will not disclose or disseminate confidential information I gained access to as a part of the SART Case Review process. I understand that I may be subject to civil or criminal penalties if I improperly release information obtained during the SART Case Signature Print Name Agency  
 
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Signature of SART Co-Chair       Date  
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LE Department or Agency Providing Case for Review   Case Number(s) 
Wisconsin Adult Sexual Assault Response Team Protocol (pp. 65) by Wisconsin Coalition Against Sexual Assault, 2011. Retrieved from https://www.wcasa.org/file_open.php?id=203 Reprinted with permission.