Consent: Rules about Obtaining Consent to Disclose Treatment Information Canyon TX

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Northwest Texas Healthcare System
(806) 354-1848
1501 Coulter Road
Amarillo, TX
Services Provided
Substance abuse , Detoxification
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, German, Spanish

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Alcoholic Recovery Center
(806) 376-7993
412 South East 16th Street
Amarillo, TX
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Men

Data Provided by:
Central Texas Council on
(254) 773-3722
5100 Midway Drive
Temple, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

Data Provided by:
Central Plains Center for MH/MR and SA
(806) 291-4425
631 Broadway
Plainview, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Phoenix Project
(214) 942-5166
201 South Tyler Street
Dallas, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
West Texas Counseling and
(806) 373-0922
2300 Line Avenue
Amarillo, TX
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

Data Provided by:
Amarillo Council on Alcoholism and
(806) 374-6688
803 South Rusk Street
Amarillo, TX
Hotline
(800) 566-6688
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
DBA Hemphill Treatment Facility
(817) 334-0111
700 Hemphill Street
Fort Worth, TX
Hotline
(866) 762-3766
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Clean Investments Counseling Center
(512) 477-6690
2406 Manor Road
Austin, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, French, Spanish

Data Provided by:
North Texas Addiction Counseling Inc
(817) 795-8278
124 West Pioneer Parkway
Arlington, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
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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