Commitment to Report


Commitment To Report

I agree to report any and all major changes or that I feel are of importance pertaining to the above stated persons.  Those being but not limited to, mental, physical, emotional, medical and spiritual life to Restored Warriors Ministries by using the Daily Check In’s form found on the Restored Warriors Ministries website, in the forms section.

I understand that by reporting these changes, I will be aiding in the healing and recovery of the above stated individual.

I will release any and all statements to be used in the healing, restoration, recovery and legal purposes.

I agree and understand that Restored Warriors Ministries has a mandated Duty to Report any of the below stated statements to the local law enforcement.

  1. Any information leading to suspicion or knowledge of the physical or sexual abuse or neglect of a minor child.
  2. Any information leading to suspicion of knowledge of danger to a third party.
  3. Any information leading to suspicion or knowledge of suicide of a client.
reCAPTCHA is required.




Cart

View cart


Search