Consent: Rules about Obtaining Consent to Disclose Treatment Information Clifton Heights PA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Family and Community Service of
(610) 626-5800
37 North Glenwood Avenue
Clifton Heights, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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Center For Addictive Disease/Main Li
(610) 645-6543
401 Pilgrim Lane
Drexel Hill, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men
Language Services
ASL or other assistance for hearing impaired

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Harwood House
(610) 853-3440
9200 West Chester Pike
Upper Darby, PA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

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Gaudenzia Inc
(215) 477-0063
702 North 63rd Street
Philadelphia, PA
Services Provided
Halfway house
Special Programs/Groups
Men

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Kirkbride Center
(215) 471-2600
111 North 49th Street
Philadelphia, PA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, Criminal justice clients

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Northwestern Human Services of
(610) 534-3636
800 Chester Pike
Sharon Hill, PA
Hotline
(877) 762-3711
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired, Spanish

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Changing Times Center
(610) 534-3636
9 South 69th Street
Upper Darby, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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Mercy Hospital Of Philadelphia Outpati
(215) 748-9634
501 South 54 Street
Philadelphia, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Men

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Integrative Life Services
(610) 789-6005
2010 Old West Chester Pike
Havertown, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

Data Provided by:
Southwest NU Stop
(215) 729-2014
5616 Woodland Avenue
Philadelphia, PA
Hotline
(215) 998-3326
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients

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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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