Consent: Rules about Obtaining Consent to Disclose Treatment Information Adelanto CA

Most general rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31.

One 2 One Mentors Inc
(760) 245-1997
16245 Desert Knoll Drive
Victorville, CA
Hotline
(760) 885-2974
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Pine Ridge Treatment Center
(760) 955-1012
15367 Bonanza Road
Victorville, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Vista Guidance Center
(760) 245-9446
15447 Anacapa Road
Victorville, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
High Desert Mental Health Center
(760) 245-9446
15447 Anacapa Street
Victorville, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Saint John of God Healthcare Services
(760) 952-9192
15534 6th Street
Victorville, CA
Hotline
(888) 233-4288
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
High Desert Child Adolescent and
(760) 243-7151
16248 Victor Street
Victorville, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Criminal justice clients
Language Services
Spanish

Data Provided by:
San Bernardino Cnty Dept of Behav Hlth
(760) 955-1777
12625 Hesperia Road
Victorville, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Saint John of God Healthcare Services
(760) 241-4917x22
13333 Palmdale Road
Victorville, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Mental Health Systems Inc
(760) 843-7809
15770 Mojave Drive
Victorville, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
Spanish

Data Provided by:
San Bernardino County
(760) 956-6780
11951 Hesperia Road
Hesperia, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Data Provided by:

Consent: Rules about Obtaining Consent to Disclose Treatment Information

Consent: Rules About Obtaining Consent To Disclose Treatment Information

The most frequently used exception to the regulations’ general rule prohibiting disclosure is client consent. (Parental consent must also be obtained in some States. See below.) The regulations’ requirements regarding consent are strict and somewhat unusual and must be carefully followed.

Most disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31:

1. The name or general description of the program(s) making the disclosure

2. The name or title of the individual or organization that will receive the disclosure

3. The name of the client who is the subject of the disclosure

4. The purpose or need for the disclosure

5. How much and what kind of information will be disclosed

6. A statement that the client may revoke (take back) the consent at any time, except to the extent that the program has already acted on it

7. The date, event, or condition upon which the consent will expire if not previously revoked

8. The signature of the client (and, in some States, his or her parent)

9. The date on which the consent is signed (§2.31(a)).

A general medical release form, or any consent form that does not contain all of the elements listed above, is not acceptable. (See the sample consent form in exhibit 3–1.) ...

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