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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Deerfield Dual Diagnosis
(814) 878-2103
2610 German Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Seniors/older adults

Data Provided by:
Veterans Affairs Medical Center
(814) 860-2122
135 East 38th Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Esper Treatment Center
(814) 459-0817
25 West 18th Street
Erie, PA
Hotline
(814) 459-0817
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Women
Language Services
Spanish

Data Provided by:
Catholic Charities Counseling
(814) 456-2091
329 West 10 Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Catholic Charities And Counseling Adop
(814) 456-2091
329 West 10th Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Saint Vincent Health Center
(814) 452-5219
1910 Sassafras Street
Erie, PA
Hotline
(814) 452-5555
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Gaudenzia Erie Inc
(814) 459-4775
414 West 5th Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Gaudenzia Erie Inc
(814) 459-5853
521 West 7th Street
Erie, PA
Services Provided
Substance abuse , Halfway house
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, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Erie City Mission
(814) 452-4421
1017 French Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Men

Data Provided by:
Glenbiegh Center of Erie
(814) 864-4226
4906 Richmond Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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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