Consent: Rules about Obtaining Consent to Disclose Treatment Information Bayonne 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Dorothy Rose Psychotherapy Services
(201) 779-9366
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Bayonne, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
New Pathway Counseling Services Inc
(201) 436-1022
995 Broadway
Bayonne, NJ
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Silver Lake Support Services Inc
(718) 720-9600
797 Brighton Avenue
Staten Island, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders

Data Provided by:
Camelot of Staten Island Inc
(718) 981-8117
Louis Harris
Staten Island, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Saint Vincents Services Inc
(718) 981-7861
148 Bay Street
Staten Island, NY
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, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Community Psychotherapy Associates
(201) 339-0142
479 Avenue C
Bayonne, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Italian

Data Provided by:
C-Line Community Outreach Services
(201) 200-1965
189 Martin Luther King Drive
Jersey City, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Project Hospitality Inc
(718) 273-8409x18
358 Saint Marks Place
Staten Island, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Spanish

Data Provided by:
Richmond University Medical Center
(718) 876-2362
427 Forest Avenue
Staten Island, NY
Hotline
(718) 818-6132
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Russian, Spanish

Data Provided by:
Community Health Action of
(718) 808-1300x1428
56 Bay Street
Staten Island, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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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