Consent: Rules about Obtaining Consent to Disclose Treatment Information Azle TX

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

ABODE Treatment Inc
(817) 246-8677x300
701 South Cherry Lane
White Settlement, TX
Services Provided
Substance abuse
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
Criminal justice clients
Language Services
Spanish

Data Provided by:
Phoenix Associates Counseling Services
(817) 338-0311
3001 West 5th Street
Fort Worth, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Gays and Lesbians, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Family Assessment/Consultation and
(817) 377-0808
5801 Curzon Avenue
Fort Worth, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
MH/MR of Tarrant County
(817) 569-4600
1501 East El Paso Street
Fort Worth, TX
Hotline
(817) 335-3022
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
MH/MR of Tarrant County
(817) 599-7634x7140
1715 Santa Fe Drive
Weatherford, TX
Hotline
(800) 772-7634
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Tarrant Community Outreach Inc
(817) 569-6277
2821 Lackland Road
Fort Worth, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Huguley Psychotherapy Clinic
(817) 551-2973
1555 Merrimac Circle
Fort Worth, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Men, Criminal justice clients

Data Provided by:
Lena Pope Home Inc
(817) 255-2652
3800 Hulen Street
Fort Worth, TX
Hotline
(817) 731-8839
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Excel Center of Fort Worth
(817) 335-6429
1220 West Presidio Street
Fort Worth, TX
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
STAR Council on Substance Abuse
(817) 599-7510
802 Fort Worth Highway
Weatherford, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

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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