The Ogolaanshaha Fariinta La Isugu Diro Telefoonka (Text Message Consent) is the Somali-language version of the Client Text Messaging Consent Form that Multnomah County lists among its new client forms. It explains the risks of texting with county staff, sets the terms a client accepts, and records the client's or guardian's signature, email and mobile phone number. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the county publishes the original at multco.us.
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What is Ogolaanshaha Fariinta La Isugu Diro Telefoonka (Text Message Consent) – Multnomah County?
The Ogolaanshaha Fariinta La Isugu Diro Telefoonka (Text Message Consent) is the Multnomah County form, printed in Somali with the English title Client Text Messaging Consent Form, on which a client acknowledges the risks of text messaging and agrees to the county's terms for using it.
The form has three parts. The first lists the risks of text messaging: messages are not encrypted, can be transferred, forwarded and stored, and can reach unintended people; senders can easily send a message to the wrong person; back-up copies may exist even if the sender or recipient deletes theirs; employers may view texts sent on employer phones; and texts can be used as evidence in court or fall under public records requests.
The second part sets the terms of use. Text messages are not suitable for emergencies, and Behavioral Health staff must not send protected health information by text. The client must avoid sending personal information to Multnomah County by text and must give written notice if the mobile number changes or if they no longer want to receive texts.
The third part is the client acknowledgment and signature block. The footer prints the code BHD 05.01.22, and the signature page has lines for a BHD staff member name and a BHD program.
The county's new client forms page also lists a Text Message Consent form in English, Simplified Chinese and Korean.
Who needs to file Ogolaanshaha Fariinta La Isugu Diro Telefoonka (Text Message Consent) – Multnomah County?
The form is for clients of Multnomah County who will exchange text messages with county Behavioral Health staff. The county's new client forms page tells clients to complete and sign these forms before their first visit and to contact the county for documents in another language. This Somali version suits clients who read Somali.
The signature line reads "client / guardian" (macmiilka / masuulka), and the email, mobile phone and carrier lines use the same wording. A guardian or responsible person can therefore sign for the client.
The form is a consent, not a service request. A client who does not want to receive text messages from the county must tell the county in writing, as the terms state. The terms also warn that text messages are not suitable for emergencies where a person's safety is at risk.
When to file Ogolaanshaha Fariinta La Isugu Diro Telefoonka (Text Message Consent) – Multnomah County
Complete and sign the form before your first visit: the county's new client forms page asks clients to finish these forms ahead of that visit. The form sets no separate due date of its own.
Later changes are made in writing, not on a new form. The terms say you must notify Multnomah County in writing if your mobile phone number changes, and in writing if you no longer want to receive text messages from the county. The acknowledgment also says the county may introduce additional terms for text messaging in the future.
How to fill out Ogolaanshaha Fariinta La Isugu Diro Telefoonka (Text Message Consent) – Multnomah County
Enter the client's name and birth date
At the top, write the client's name on the line labeled Magaca Qofka and the date of birth on the line labeled Taariikhda Dhalashada.
Read the risks of text messaging
Read the section headed Khattarta Isticmaalka Farriimaha Qoraalka Ah. It lists the risks, such as unencrypted messages, stored copies and court use.
Read the terms of use
Read the section headed Shuruudaha Isticmaalka Farriimaha Qoraalka Ah, including the rules on emergencies, personal information, employer phones and written notice.
Read the client acknowledgment
The section Aqoonsiga iyo Heshiiska Macmiilka states that you read and understood the information, accept the terms and understand that the county may add terms later.
Sign and date the form
Sign on the line Saxeexa macmiilka / masuulka and enter the date and time on the line Taariikhda iyo Waqtiga Saxeexa. A guardian signs where the form says guardian.
Enter email and mobile phone details
Write the client's or guardian's email address (Cinwaanka Iimaylka) and mobile phone number (Lambarka Taleefanka Gacanta), and complete the mobile phone line that follows.
Complete the BHD staff lines
At the bottom, enter the BHD Staff Member Name and BHD Program as the form asks. Ask the county if you are unsure what to put.
Review and download the completed PDF
Check the name, date of birth, signature, date and time and contact lines, then download or print the completed PDF from FillingPDF and keep it ready for your first visit.
How to submit Ogolaanshaha Fariinta La Isugu Diro Telefoonka (Text Message Consent) – Multnomah County
The form names no mailing address, portal or fax number. The county's new client forms page says to complete and sign the forms before your first visit, and to contact the county for documents in another language.
- Before your first visit: have the signed form ready, as the county page directs.
- Written notices: to change your phone number or stop receiving texts, send the county written notice, as the terms require.
- Questions or other languages: contact Multnomah County through the new client forms page at https://multco.us/info/new-client-forms.
FillingPDF lets you fill out and download the PDF; submission follows the county's channels above.
Common mistakes to avoid
- Texting Multnomah County staff in an emergency; the terms say text messages are not suitable for situations where a person's safety is at risk.
- Sending personal information to Multnomah County by text; the terms tell clients to avoid it.
- Using an employer's phone to send or receive texts with the county; the terms say clients must avoid it, and employers may view those messages.
- Changing your mobile number without telling the county in writing, as the terms require.
- Telling staff by text, instead of in writing, that you no longer want text messages; the terms ask for written notice.
- Leaving the signature line, or the date and time of signature, blank.
- Skipping the mobile phone, email or carrier lines under the signature, which the form asks for from the client or guardian.
- Treating texts as private; the form warns they are not encrypted, may be stored and can be requested as public records.
Frequently asked questions
What is the Text Message Consent form for Multnomah County?
It is the Multnomah County Client Text Messaging Consent Form, here in Somali. The client acknowledges the risks of texting with county Behavioral Health staff, accepts the county's terms for text messages and signs to record that consent.
When do I have to sign the text message consent form?
Before your first visit. The county's new client forms page says to complete and sign these forms before your first visit. The form prints no separate due date, and the county asks you to contact it for documents in another language.
Is this form related to Multnomah County property tax?
No. This form has nothing to do with Multnomah County property tax. It is a client consent for text messaging, listed among the county's new client forms; the form's footer code is BHD 05.01.22.
Can I text Multnomah County in an emergency?
No. The terms on the form say text messages are not suitable for emergencies where a person's safety is at risk. Behavioral Health staff also must not send protected health information by text.
How do I stop receiving text messages from the county?
Tell Multnomah County in writing. The terms say a client must notify the county in writing if they do not want to receive text messages, and also in writing if their mobile phone number changes.
Are text messages with the county private?
The form says they are not. Texts are not encrypted, can be forwarded or stored, can reach unintended people, may remain in back-up copies, can be used as evidence in court and may be subject to public records requests.
Can a guardian sign the text message consent form?
The signature, email and mobile phone lines are labeled for the client or guardian (macmiilka / masuulka), so a guardian or responsible person can sign. The form does not set further rules on who qualifies.
Can I fill out the Somali text message consent form online?
You can complete the PDF online on FillingPDF and download or print it. FillingPDF is independent of Multnomah County and does not submit the form; you handle it through the county's own channels.
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