Consent: Rules about Obtaining Consent to Disclose Treatment Information Clewiston FL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Hendry/Glades Mental Health Clinic Inc
(863) 983-1423
601 West Alverdez Avenue
Clewiston, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Creole, French, Spanish

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Oakwood Center of the Palm Beaches
(561) 993-8082
816 NW Avenue D
Belle Glade, FL
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Breakthroughs Counseling and
(904) 419-6102
3810 Williamsburg Park Boulevard
Jacksonville, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Saint Johns County
(904) 209-6001
1955 U.S. 1 South
Saint Augustine, FL
Hotline
(904) 824-4957
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
American Family Counseling Inc
(954) 772-7696
970 West Mcnab
Fort Lauderdale, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Southwest FL Addiction Services Inc
(863) 902-3334
533 East El Paso Street
Clewiston, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
DISC Village Inc
(850) 561-0717
3333 West Pensacola Street
Tallahassee, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, Portugese, Spanish

Data Provided by:
Operation Par Inc
(941) 753-0877
6253 14th Street West
Bradenton, FL
Hotline
(888) 727-6398
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Harbor Behavioral Healthcare Institute
(352) 521-1474
14527 7th Street
Dade City, FL
Hotline
(888) 841-4440
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
WestCare Florida Inc
(727) 328-1990
2510 Central Avenue
Saint Petersburg, FL
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians

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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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