Consent: Rules about Obtaining Consent to Disclose Treatment Information Anchorage AK

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Starting Point
(907) 562-6116
341 West Tudor Road
Anchorage, AK
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Akeela Inc
(907) 565-1200
4111 Minnesota Drive
Anchorage, AK
Hotline
(907) 276-0528
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Volunteers of America Alaska
(907) 279-9634
1675 C Street
Anchorage, AK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Salvation Army
(907) 276-2898
1709 Bragaw Street
Anchorage, AK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Booth Memorial
(907) 279-0522x502
3600 East 20th Avenue
Anchorage, AK
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

Data Provided by:
Alaska Human Services Inc/Outpatient
(907) 561-4535
750 East Fireweed Lane
Anchorage, AK
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
RITE Inc
(907) 562-7483
307 East Northern Lights Boulevard
Anchorage, AK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Providence Alaska Medical Center
(907) 212-6970
3801 Lake Otis Parkway
Anchorage, AK
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Southcentral Foundation
(907) 729-5070x5073
4130 San Ernesto Avenue
Anchorage, AK
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired, Inupiat, Yupik

Data Provided by:
Alaska VA Healthcare Sys/Reg Office
(907) 257-4854
2925 DeBarr Road
Anchorage, AK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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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