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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Counseling Solutions
(609) 386-1155
19 West Broad Street
Burlington, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
SODAT of New Jersey Inc
(609) 265-7884
60-62 High Street
Mount Holly, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Burlington Comp Counseling Inc
(609) 267-3610
75 Washington Street
Mount Holly, NJ
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish, Tagalog

Data Provided by:
Libertae Inc
(215) 639-8681
5245 Bensalem Boulevard
Bensalem, PA
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, Women

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Livengrin Foundation Inc
(215) 638-5200x142
4833 Hulmeville Road
Bensalem, PA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

Data Provided by:
Hampton Behavioral Health Center
(609) 267-7000x2148
650 Rancocas Road
Westampton, NJ
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Lester A Drenk Behavioral Health Ctr
(609) 267-1377
795 Woodlane Road
Mount Holly, NJ
Hotline
(609) 835-6180
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Livengrin Counseling Center
(215) 547-1440
1609 South Woodbourne Road
Levittown, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
New Day Behavioral Healthcare Inc
(215) 949-2255
1609 Woodbourne Road
Levittown, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men

Data Provided by:
Aldie Counseling Center
(215) 642-3230x104
3369 Progress Drive
Bensalem, PA
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women
Language Services
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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