Consent: Rules about Obtaining Consent to Disclose Treatment Information Clovis NM

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Mental Health Resources Inc
(575) 769-2345x131
1100 West 21st Street
Clovis, NM
Hotline
(800) 432-2159
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
Border Area Mental Health Services Inc
(575) 546-2174
901 West Hickory Street
Deming, NM
Hotline
(800) 426-0997
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Mental Health Resources Inc
(575) 461-3013x131
1005 South Monroe Street
Tucumcari, NM
Hotline
(800) 432-2159
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
Carlsbad Mental Health Center
(575) 885-1689
611 West Stevens Street
Carlsbad, NM
Hotline
(505) 885-8888
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient

Data Provided by:
Life Link
(505) 438-0010
2325 Cerrillos Road
Santa Fe, NM
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
Mental Health Resources Inc
(575) 359-1221
300 East 1st Street
Portales, NM
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
New Moon Lodge
(505) 852-2788x227
579 White Swan Road
Ohkay Owingeh, NM
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Men, Criminal justice clients
Language Services
Navajo

Data Provided by:
Otero County Council on
(575) 437-8942
850 Wright Avenue
Alamogordo, NM
Hotline
(575) 491-3694
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, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Lighthouse Counseling Inc
(505) 296-4449
2520 Virginia Street NE
Albuquerque, NM
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Guidance Center of Lea County Inc
(575) 393-3168
920 West Broadway
Hobbs, NM
Hotline
(575) 393-6633
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women
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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