Consent: Rules about Obtaining Consent to Disclose Treatment Information Allison Park PA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Arche Wellness LLC
(724) 444-1333
49 Qsi Lane
Allison Park, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders

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Mercy Behavioral Health
(724) 933-8200
9983 Perry Highway
Wexford, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, DUI/DWI offenders, Criminal justice clients

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VA Pittsburgh Healthcare System
(412) 365-5010
7180 Highland Drive
Pittsburgh, PA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, DUI/DWI offenders

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Wesley Spectrum Services
(412) 342-2300
6117 Broad Street
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Salvation Army
(412) 231-0500
865 West North Avenue
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men

Data Provided by:
Gateway
(412) 963-7077
1360 Old Freeport Road
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Holy Family Social Services-Shores
(412) 761-0236
201 Center Avenue
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Criminal justice clients

Data Provided by:
Summit Medical Services
(412) 255-8717x204
59 31st Street
Pittsburgh, PA
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Family Resources
(412) 363-1702
141 South Highland Avenue
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Discovery House PA
(412) 661-9222
1391 Washington Boulevard
Pittsburgh, PA
Hotline
(800) 366-7929
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, Men

Data Provided by:
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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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