Consent: Rules about Obtaining Consent to Disclose Treatment Information Belle Vernon PA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

SPHS Behavioral Health
(724) 684-9000
301 East Donner Avenue
Monessen, PA
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, Pregnant/postpartum women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Auberle
(412) 673-5856x1303
2513 Fifth Avenue
McKeesport, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Greenbriar Treatment Center
(412) 885-7180
4275 Clairton Boulevard
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Addiction Specialists
(724) 437-2776
1023 Pittsburgh Street
Uniontown, PA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Women, Men

Data Provided by:
UPMC Braddock
(412) 636-5000x5354
400 Holland Avenue
Braddock, PA
Hotline
(412) 636-5000
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
RHJ Medical Center Inc
(724) 696-9600
1005 Old State Rt 119
Hunker, PA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

Data Provided by:
SPHS Behavioral Health
(724) 628-3435
1047 Morrell Avenue
Connellsville, PA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Gateway Pleasant Hills
(412) 466-7734
500 Lewis Run Road
West Mifflin, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Fayette County
(724) 438-3576x124
100 New Salem Road
Uniontown, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Gateway South
(724) 941-4126
4150 Washington Road
Canonsburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
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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