Consent: Rules about Obtaining Consent to Disclose Treatment Information American Fork UT

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Illume Center LLC
(801) 216-4800
6280 West 9600 North
Highland, UT
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), 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, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients

Data Provided by:
Addiction and Psychological Services
(801) 222-0603
224 North Orem Boulevard
Orem, UT
Hotline
(801) 222-0603
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Portugese, Spanish

Data Provided by:
NEFA
(801) 802-0115
382 East 720 South
Orem, UT
Hotline
(801) 802-0115
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Intermountain
(801) 373-0210
1868 North 1120 West Street
Provo, UT
Hotline
(800) 303-9805
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Gathering Place
(801) 226-2255
251 East 1200 South Street
Orem, UT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Alliance Clinical Services
(801) 763-7775
71 North 490 West
American Fork, UT
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Institute For Cognitive Therapy Inc
(801) 802-8608
560 South State Street
Orem, UT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Criminal justice clients
Language Services
Chinese, Korean, Spanish, Vietnamese

Data Provided by:
Provo Canyon School
(801) 227-2100
4501 North University Avenue
Provo, UT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents
Language Services
Arabic, Chinese, Creole, French, German, Hebrew, Hmong, Korean, Navajo, Polish, Portugese, Russian, Spanish, Vietnamese

Data Provided by:
Cirque Lodge
(801) 222-9200
Rural Route 3 Box A-10
Sundance, UT
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment

Data Provided by:
Discovery House UC Inc
(801) 426-6565
714 South State Street
Orem, UT
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
German, Russian, Spanish

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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