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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Bethesda PA Treatment & Healing
(570) 387-1051
200 Montour Boulevard
Bloomsburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

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Psychological Services Clinic
(570) 286-5081
405 Bloom Road
Danville, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Bethesda PA Treatment & Healing
(570) 649-6855
5972 Susquehanna Trail
Turbotville, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

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Good Samaritan Counseling Center
(570) 622-5898
10 East Spruce Street
Frackville, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Lighthouse Counseling Associates
(570) 562-1166
812 South Main Street
Taylor, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women

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Psychological Services
(570) 398-1269
140 Market Street
Bloomsburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Gaudenzia Inc
(570) 875-4700
95 Broad Street
Ashland, PA
Hotline
(570) 875-4700
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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Clear Brook Lodge
(570) 864-3116
890 Bethel Hill Road
Shickshinny, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents

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Livengrin Counseling Center
(215) 340-1765
350 South Main Street
Doylestown, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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Treatment Trends Inc
(610) 433-0148
1130 Walnut Street
Allentown, PA
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, DUI/DWI offenders

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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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