Consent: Rules about Obtaining Consent to Disclose Treatment Information Bassett VA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Memorial Hospital of Martinsville and
(276) 666-7200
320 Hospital Drive
Martinsville, VA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient

Data Provided by:
Passages
(276) 632-5685
817 Starling Avenue
Martinsville, VA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men

Data Provided by:
Hanover County Community Service Board
(804) 365-4222
12300 Washington Highway
Ashland, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Council on Alcoholism
(540) 662-8877
512 South Braddock Street
Winchester, VA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Recovery Center of Northern Virginia
(703) 464-5122
457 Carlisle Drive
Herndon, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Piedmont Community Services
(276) 632-7128
24 Clay Street
Martinsville, VA
Hotline
(276) 632-7295
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, Women, Men, Criminal justice clients

Data Provided by:
Highlands Community Services (SAIOP)
(276) 676-2908
432 East Main Street
Abingdon, VA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Mount Regis Center
(800) 477-3447
405 Kimball Avenue
Salem, VA
Hotline
(800) 477-3447
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment

Data Provided by:
Virginia Health Center
(804) 643-0002
719 North 25th Street
Richmond, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Pregnant/postpartum women, Criminal justice clients

Data Provided by:
Loudoun County Mental Health Center
(703) 771-5100
102 Heritage Way NE
Leesburg, VA
Hotline
(703) 777-0320
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, 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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