Consent: Rules about Obtaining Consent to Disclose Treatment Information Aztec NM

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Four Winds Recovery Center Inc
(505) 327-7218
1313 Mission Avenue
Farmington, NM
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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Presbyterian Medical Services
(505) 564-4804
1615 Ojo Court
Farmington, NM
Hotline
(505) 325-1906
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired, Navajo, Spanish

Data Provided by:
Hoy Recovery Program Inc
(505) 852-2580
State Road 68 Marker 8
Alcalde, NM
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)
Special Programs/Groups
Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
PMS/San Juan County Adolescent
(505) 324-5855
851 Andrea Drive
Farmington, NM
Hotline
(888) 920-6333
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired, German, Navajo, Spanish

Data Provided by:
Rio Grande Intensive Outpatient Trt
(575) 737-5533
1350 Paseo Del Pueblo Sur
Taos, NM
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Family Crisis Center
(505) 325-3549
c\o 208 East Apache
Farmington, NM
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders

Data Provided by:
Presbyterian Medical Services
(505) 586-0322
2573 State Highway 522
Questa, NM
Hotline
(888) 920-6333
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Hoy Recovery Program Inc
(505) 753-2204
612 North Paseo de Onate
Espanola, NM
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Border Area Mental Health Services Inc
(575) 542-9477
500 DeMoss Street
Lordsburg, NM
Hotline
(800) 426-0997
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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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