Consent: Rules about Obtaining Consent to Disclose Treatment Information Fairmont WV

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Fairmont General Hospital Center for
(304) 367-7229
1325 Locust Avenue
Fairmont, WV
Hotline
(304) 367-7281
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men

Data Provided by:
Rainbow House Inc
(304) 592-3592
158 Main Street
Gypsy, WV
Services Provided
Halfway house

Data Provided by:
Valley Healthcare System
(304) 296-1731
301 Scott Avenue
Morgantown, WV
Hotline
(800) 232-0020
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Clarksburg Treatment Center
(304) 622-7511
706 Oakmound Road
Clarksburg, WV
Services Provided
Substance abuse treatment, Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women

Data Provided by:
United Summit Center
(304) 623-5661
6 Hospital Plaza
Clarksburg, WV
Hotline
(800) 786-6480
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, DUI/DWI offenders

Data Provided by:
Valley Comprehensive Comm MH Ctr Inc
(304) 363-2228x4193
202 Columbia Street
Fairmont, WV
Hotline
(800) 232-0020
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Valley Healthcare System
(304) 265-3947
501 North Pike Street
Grafton, WV
Hotline
(800) 232-0020
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Chestnut Ridge Hosp/WVU Hospitals Inc
(304) 598-6400
930 Chestnut Ridge Road
Morgantown, WV
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Hospital inpatient, Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Veterans Affairs Medical Center
(304) 623-7613
1 Medical Center Drive
Clarksburg, WV
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment

Data Provided by:
Potomac Highlands MH Guild Inc
(304) 257-1155
6 Park Street
Petersburg, WV
Hotline
(800) 545-4357
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
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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