Consent: Rules about Obtaining Consent to Disclose Treatment Information Ambler 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

UHS Keystone Center
(215) 542-4825
722 East Butler Pike
Ambler, 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

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Livengrin Counseling Center
(215) 540-8301
220 Commerce Drive
Fort Washington, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Childrens Aid Society
(215) 362-8422
2506 N Broad Street
Colmar, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, DUI/DWI offenders
Language Services
Spanish

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Project Transition
(215) 491-0166
1700 Street Road
Warrington, PA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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Healthcare Options Inc
(215) 784-1120
1000 York Road
Willow Grove, PA
Hotline
(800) 547-4615
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Horsham Clinic
(215) 643-7800
722 East Butler Pike
Ambler, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Service Foundation Inc
(215) 348-8881
801 West 2nd Street
Lansdale, PA
Services Provided
Substance abuse
Types of Care
Partial hospitalization/day treatment

Data Provided by:
Discovery House
(215) 675-8882
329 East County Line Road
Hatboro, PA
Hotline
(215) 675-8882
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, Russian, Ukrainian

Data Provided by:
Northwestern Human Services of
(215) 368-2022
400 North Broad Street
Lansdale, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Central Montgomery Mh/Mr Center Core E
(215) 830-8966
3941 Commerce Avenue
Willow Grove, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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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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