Consent: Rules about Obtaining Consent to Disclose Treatment Information Chevy Chase MD

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Suburban Hospital
(301) 896-3100
8600 Old Georgetown Road
Bethesda, MD
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

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Counseling Plus Inc
(301) 565-9001
8561 Fenton Street
Silver Spring, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders, Criminal justice clients
Language Services
Korean, Spanish, Vietnamese

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Bridge Back Program
(202) 829-9199
4800 Arkansas Avenue NW
Washington, DC
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired

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Psychiatric Institute of Washington
(202) 885-5600
4228 Wisconsin Avenue NW
Washington, DC
Services Provided
Substance abuse , Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Andromeda Transcultural Health
(202) 291-4707
1400 Decatur Street NW
Washington, DC
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians
Language Services
Creole, French, German, Portugese, Russian, Spanish

Data Provided by:
Kolmac Clinic
(301) 589-0255
1003 Spring Street
Silver Spring, MD
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Walter Reed Army Medical Center
(202) 782-3969
MCWR-DCA-CCC
Washington, DC
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Executive Addictive Disease Progs Inc
(202) 362-2588
4335 Wisconsin Avenue NW
Washington, DC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Circles of Hope Psychotherapy and
(202) 265-2343
3000 Connecticut Avenue NW
Washington, DC
Hotline
(202) 332-9130
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Another Way Inc
(301) 434-2622
1363 Holton Lane
Takoma Park, MD
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Language Services
French, Spanish

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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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