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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

STAR Council on Substance Abuse
(817) 645-5517
118 West Heard Street
Cleburne, 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:
Huguley Psychotherapy Clinic
(817) 558-2988
214 North Caddo Street
Cleburne, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Volunteers of America Texas Inc
(713) 692-8190
5630-5712 Lavender Street
Houston, TX
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
South East Texas Management Network
(409) 813-8300
3401 57th Street
Port Arthur, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Center for Success and Independence
(713) 426-4545
3722 Pinemont Drive
Houston, TX
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Residential beds for clients' children
Language Services
French, Spanish

Data Provided by:
Pecan Valley MH/MR Region
(254) 965-7806
1601 North Anglin Street
Cleburne, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Lao, Spanish, Thai

Data Provided by:
Helping Open Peoples Eyes Inc (HOPE)
(817) 558-8807
619 North Main Street
Cleburne, TX
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Driskill House
(806) 995-4552
1202 Highway 87 North
Tulia, TX
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men

Data Provided by:
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:
Methodist Specialty/Transplant Hosp
(210) 575-8521
8026 Floyd Curl Drive
San Antonio, TX
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
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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