3-HSS-26-016 COMPREHENSIVE SUBSTANCE USE PRIMARY PREVENTION SERVICES FOR COMMUNITIES, ADULTS AND YOUTH - Attachment 4 - Confidential Information Form.docx

This is a Confidential Information Form attachment for a Delaware Health and Social Services Division of Substance Abuse and Mental Health contract opportunity for comprehensive substance use primary prevention services. The form serves as Attachment 4 to Contract No. HSS-26-16, which seeks to provide prevention services for communities, adults, and youth across Delaware. The contract aims to support Delaware's Behavioral Health Prevention Strategy through primary prevention activities addressing tobacco, alcohol, marijuana, and fentanyl-laced substances, utilizing six broad categories of prevention strategies including education, information dissemination, environmental strategies, community-based activities, and problem identification and referral.

The confidential information form requires vendors to acknowledge whether they are providing any confidential or proprietary information for production under Delaware's Freedom of Information Act (29 Del. C. Ch. 100). The form includes a checkbox for vendors to indicate they are not providing confidential information and provides space for vendors to detail any information they consider confidential or proprietary, with additional pages permitted using the same format. The document includes standard formatting with the Delaware Health and Social Services letterhead and appears to contain embedded images as part of the form structure.