Consent: Rules about Obtaining Consent to Disclose Treatment Information Bristol CT

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Bristol Hospital
(860) 585-3000
41 Brewster Road
Bristol, CT
Hotline
(860) 585-3274
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Bristol Hospital Counseling Center
(860) 583-5858
440 North Main Street
Bristol, CT
Hotline
(806) 747-3434
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
John Dempsey Hospital
(860) 679-6700
10 Talcott Notch Road
Farmington, CT
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Community Mental Health Affiliates
(860) 224-8192
55 Winthrop Street
New Britain, CT
Hotline
(860) 747-8719
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Hartford Dispensary
(860) 827-3313
19 Rockwell Avenue
New Britain, CT
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Seniors/older adults, Women
Language Services
Spanish

Data Provided by:
Hartford Dispensary
(860) 589-6433
1098 Farmington Avenue
Bristol, CT
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Seniors/older adults, Women
Language Services
Spanish

Data Provided by:
Wheeler Clinic Inc
(860) 793-3500
91 NW Drive
Plainville, CT
Hotline
(860) 747-3434
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Gays and Lesbians, Seniors/older adults, Women, Men

Data Provided by:
Wheeler Clinic Inc
(860) 223-8885
36 Russell Street
New Britain, CT
Hotline
(860) 747-3434
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
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:
Alliance Treatment Center Inc
(860) 223-7707
33 Highland Street
New Britain, CT
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
Morris Foundation Inc
(203) 574-3311
79 Beacon Street
Waterbury, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Residential beds for clients' children

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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