Consent: Rules about Obtaining Consent to Disclose Treatment Information Brooksville FL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Harbor Behavioral Healthcare Institute
(352) 540-9335x4026
7074 Grove Road
Brooksville, FL
Hotline
(352) 540-9335x4099
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Eckerd Youth Alternatives Inc
(352) 726-3883
7027 East Stage Coach Trail
Floral City, FL
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Criminal justice clients

Data Provided by:
The Centers
(352) 628-5020
3238 South Lecanto Highway
Lecanto, FL
Hotline
(352) 628-5020
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Drug Abuse Comprehensive Coord Office
(813) 621-1688x249
4424 East Columbus Drive
Tampa, FL
Services Provided
Substance abuse
Types of Care
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, Criminal justice clients
Language Services
Spanish

Data Provided by:
Memorial Regional Hospital
(954) 985-1455
3400 North 29th Avenue
Hollywood, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Creole, Spanish

Data Provided by:
Eckerd Youth Alternatives Inc
(352) 796-9493
397 Culbreath Road
Brooksville, FL
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Harbor Behavioral Healthcare Institute
(352) 521-1474
14527 7th Street
Dade City, FL
Hotline
(888) 841-4440
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
Western Judicial Services Inc
(321) 752-7557
1600 Sarno Road
Melbourne, FL
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Covenant House
(954) 568-7939
733 Breakers Avenue
Fort Lauderdale, FL
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Residential beds for clients' children

Data Provided by:
Spectrum Programs Inc
(954) 781-4405
450 East Atlantic Boulevard
Pompano Beach, FL
Services Provided
Substance abuse
Types of Care
Outpatient

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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