Consent: Rules about Obtaining Consent to Disclose Treatment Information Astoria NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

HANAC Inc
(718) 204-1200
3114 30th Avenue
Astoria, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

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QSA Inc /CD Outpatient Program
(718) 729-8686
35-01 Queens Boulevard
Long Island City, NY
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Creole, French, Russian, Spanish

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MH Providers of Western Queens Inc
(718) 898-5085
6207 Woodside Avenue
Woodside, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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Carnegie Hill Institute Inc
(212) 289-7166
116 East 92nd Street
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

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Phoenix House
(212) 831-1555
3425 Vernon Boulevard
Long Island City, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS

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Phoenix Intensive Residential Program
(718) 726-8484
3425 Vernon Boulevard
Long Island City, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Women, Men

Data Provided by:
Q.S.A. Incorporated
(718) 729-6868x106
3501 Queens Boulevard
Long Island City, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Creole, Russian, Spanish

Data Provided by:
Fortune Society Inc
(212) 691-7554
2976 Northern Boulevard
Long Island City, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

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Narco Freedom Inc
(718) 786-3476
3718 34th Street
Long Island City, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Language Services
Russian, Spanish

Data Provided by:
Addicts Rehabilitation Center Fund Inc
(212) 427-6960x22
1881 Park Avenue
New York, NY
Hotline
(212) 427-6960
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Women, Men, Criminal justice clients
Language Services
Spanish

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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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