Consent: Rules about Obtaining Consent to Disclose Treatment Information Dickson TN

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Centerstone
(615) 446-3797
721 Highway 46 South
Dickson, TN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Ranch
(931) 729-9631
6107 Pinewood Road
Nunnelly, TN
Services Provided
Substance abuse , Detoxification
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, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Parthenon Pavilion CMC
(615) 342-1400
2401 Parman Place
Nashville, TN
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Outlook
(423) 613-8324
211 Woodlawn Avenue
Newport, TN
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
Cornerstone of Recovery Inc
(865) 970-7747
1214 Topside Road
Louisville, TN
Hotline
(800) 684-6614
Services Provided
Substance abuse , Detoxification, Halfway house, Buprenorphine Services
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
Women, Men

Data Provided by:
New Life Lodge Inc
(615) 446-7034
999 Girl Scout Road
Burns, TN
Hotline
(866) 836-8125
Services Provided
Substance abuse , Detoxification, Halfway house, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Volunteer Behavioral Healthcare System
(423) 479-0353
360 Worth Street
Cleveland, TN
Hotline
(800) 704-2651
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less)
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Grace House Inc
(901) 722-8460
329 North Bellevue Street
Memphis, TN
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Quinco Mental Health Center
(731) 645-5753
641 East Poplar Street
Selmer, TN
Hotline
(800) 467-2515
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Tony Rice Center Inc
(931) 685-0957
1300 Railroad Avenue
Shelbyville, TN
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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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