Consent: Rules about Obtaining Consent to Disclose Treatment Information Bainbridge Island WA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Cascadia Addiction Treatment Services
(360) 373-0155
2817 Wheaton Way
Bremerton, WA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, DUI/DWI offenders

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Suquamish Tribe Wellness Program
(360) 394-5200
18490 Suquamish
Suquamish, WA
Services Provided
Substance abuse treatment, Halfway house, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women, Men

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Advantages Counseling Services
(360) 479-0853
645 4th Street
Bremerton, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Cascade Recovery Center North
(360) 697-7721
2017 Front Street
Poulsbo, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Westlake Clinical Services Inc
(206) 726-8363
1319 Dexter Avenue North
Seattle, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Right Choice Counseling Serv Inc
(360) 373-4077
1740 NE Riddell Road
Bremerton, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Swedish Medical Center/Ballard
(206) 781-6209
5300 Tallman Avenue NW
Seattle, WA
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Associated Behavioral Healthcare Inc
(206) 935-1282
4700 42nd Avenue SW
Seattle, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient

Data Provided by:
Korean Community Counseling Center
(206) 784-5691
302 North 78th Street
Seattle, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Korean

Data Provided by:
Cascade Recovery Center
(360) 698-7267
9095 McConnell Avenue NW
Silverdale, WA
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
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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