Consent: Rules about Obtaining Consent to Disclose Treatment Information Atlantic City NJ

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Atlantic City Rescue Mission
(609) 345-5517
2009 Bacharach Boulevard
Atlantic City, NJ
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Halfway house

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Atlantic Care Health Services
(609) 344-5714
2009 Bacharach Boulevard
Atlantic City, NJ
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
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Spanish

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Thomas E Hand and Professional Assoc
(609) 748-3331
283 East Jimmie Leeds Road
Galloway, NJ
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Substance abuse , Buprenorphine Services
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Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

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Park Bench Group Counseling LLC
(609) 377-5273
1810 Shore Road
Northfield, NJ
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(609) 653-8600
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

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Family Service Association
(609) 652-1600
312 East White Horse Pike
Absecon, NJ
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Institute for Human Development (IHD)
(609) 345-4035
1315 Pacific Avenue
Atlantic City, NJ
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Substance abuse , Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, Men
Language Services
Spanish

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Harvest Counseling Services
(609) 408-9488
201 Atlantic Avenue
Atlantic City, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, DUI/DWI offenders, Criminal justice clients

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Associates for Life Enhancement Inc
(609) 569-1144
505 New Road
Northfield, NJ
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Substance abuse
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Outpatient

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Randi Massey
(609) 653-8600
1810 Shore Road
Northfield, NJ
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Substance abuse
Types of Care
Outpatient

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Atlanticare Behavioral Health
(609) 646-5142
6010 Black Horse Pike
Egg Harbor Township, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

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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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