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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Extra Care Health Services
(800) 810-2070
215 Elm Avenue
Rahway, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men

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Staten Island University Hospital
(718) 226-2808
392 Seguine Avenue
Staten Island, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, Women
Language Services
ASL or other assistance for hearing impaired, Spanish, Urdu

Data Provided by:
Bridge Back to Life Center Inc
(718) 447-5700
1688 Victory Boulevard
Staten Island, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients

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Staten Island YMCA Counseling Services
(718) 948-3232
3911 Richmond Avenue
Staten Island, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Raritan Bay Medical Center
(732) 442-9006
500 Convery Boulevard
Perth Amboy, NJ
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
RAMAS Counseling Center
(732) 602-9000
One Woodbridge Center
Woodbridge, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Herbert Goodfriend LCSW LCADC
(908) 351-6080
230 West Jersey Street
Elizabeth, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Daytop Village Inc
(718) 981-3136
1915 Forest Avenue
Staten Island, NY
Hotline
(800) 232-9867
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

Data Provided by:
Victor H Lopez
(732) 878-1365
101 Center Street
Perth Amboy, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Canterbury Institute
(732) 379-6000
120 Wood Avenue South
Iselin, NJ
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

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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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