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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Marriage and Family Counseling Center
(973) 759-3388
387 Union Avenue
Belleville, NJ
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

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Bloomfield Health Pavilion LLC
(973) 230-3631
86 Bloomfield Avenue
Newark, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, DUI/DWI offenders, Criminal justice clients
Language Services
Russian, Spanish

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Comprehensive Behavioral Healthcare
(201) 935-3322
516 Valley Brook Avenue
Lyndhurst, NJ
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Renaissance Challenge Conquerors
(973) 481-3431
400 7th Avenue West
Newark, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Living New Inc
(973) 497-2471
15 South 9th Street
Newark, NJ
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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American Counseling Center Inc
(845) 596-1802
14-20 Watsessing Avenue
Bloomfield, NJ
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

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Allan D Wright Addiction Counselor
(973) 748-4252
12 Park Street
Bloomfield, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

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Choices Inc
(973) 481-1889x225
169 Roseville Avenue
Newark, NJ
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Aids Resource Foundation for Children
(973) 643-0400
176 Roseville Avenue
Newark, NJ
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Youth Consultation Service
(973) 854-3652
60 Evergreen Place
East Orange, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Urdu

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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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