Consent: Rules about Obtaining Consent to Disclose Treatment Information Binghamton NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Addictions Center of Broome County Inc
(607) 723-7308x124
30 West State Street
Binghamton, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
Outpatient New Horizons
(607) 762-2800
10 Mitchell Avenue
Binghamton, NY
Hotline
(607) 762-2257
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
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
820 River Street Inc
(518) 861-6207x122
1180 Berne Altamont Road
Altamont, NY
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Women, Men, Criminal justice clients

Data Provided by:
Long Beach Reach Inc
(516) 889-2332
2-12 West Park Avenue
Long Beach, NY
Hotline
(516) 889-2332
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, Criminal justice clients
Language Services
Spanish

Data Provided by:
Lincoln Medical/Mental Health Center
(718) 993-3100x113
349 East 140th Street
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Edo, Krio, Portugese, Spanish

Data Provided by:
United Health Services Hospitals Inc
(607) 762-2255
10-42 Mitchell Avenue
Binghamton, NY
Hotline
(607) 762-2257
Services Provided
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:
Fairview Recovery Services Inc
(607) 722-8987
5 Merrick Street
Binghamton, NY
Services Provided
Halfway house

Data Provided by:
Saint Vincents Catholic Med Ctr of NY
(914) 925-5536
275 North Street
Harrison, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Women, Men

Data Provided by:
Dynamic Youth Community Inc
(718) 376-7923
1830 Coney Island Avenue
Brooklyn, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
Russian, Spanish

Data Provided by:
Beth Israel Medical Center
(212) 420-2086
109 Delancy Street
New York, NY
Hotline
(212) 420-2086
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, 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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