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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

RHJ Medical Center Inc
(724) 842-0357
2994 River Road
Vandergrift, PA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

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Greenbriar Treatment Center
(724) 339-7180
601 6th Street
New Kensington, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

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Family Services Of Western Pennsylvani
(724) 226-0664x833
321 East 5th Avenue
Tarentum, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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Gateway/Monroeville
(412) 373-2234
4327 Northern Pike
Monroeville, 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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Turtle Creek Valley MH/MR Inc
(412) 824-9300x692
519 Penn Avenue
Turtle Creek, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

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SPHS Behavioral Health
(724) 339-6860
408 8th Street
New Kensington, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Butler Regional Recovery Program
(724) 226-7065
1301 Carlisle Street
Natrona Heights, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Family Services of Western PA
(724) 226-0664
321 East Fifth Avenue
Tarentum, PA
Hotline
(888) 222-4200
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

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Teen Challenge of Western Pennsylvania
(724) 265-4100
220 Challenge Lane
Rural Ridge, PA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

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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

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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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