Consent: Rules about Obtaining Consent to Disclose Treatment Information Flagstaff AZ

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Northern Arizona
(928) 773-9376
2101 North 4th Street
Flagstaff, AZ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Gays and Lesbians, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Guidance Center Inc
(928) 527-1899
2187 North Vickey Street
Flagstaff, AZ
Hotline
(928) 527-1899
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Thunderbird Treatment Center
(602) 938-2301
13820 North 51st Avenue
Glendale, AZ
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, Pregnant/postpartum women, Women

Data Provided by:
Center for Behavioral Health
(480) 897-7044
2123 East Southern Avenue
Tempe, AZ
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Reflections Family Services Inc
(520) 795-0981
2530 East Broadway Boulevard
Tucson, AZ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Community Medical Services LLC
(928) 714-0010
2559 East 7th Avenue
Flagstaff, AZ
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

Data Provided by:
Flagstaff Medical Center
(928) 213-6400x16400
1200 North Beaver Street
Flagstaff, AZ
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Rainbow Treatment Center
(928) 338-4858
302 West Ponderosa Street
Whiteriver, AZ
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men
Language Services
Apache

Data Provided by:
Community Counseling Centers Inc
(928) 524-6126
105 North 5th Avenue
Holbrook, AZ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Pregnant/postpartum women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Hopi, Navajo, Spanish

Data Provided by:
PPEP Behavioral Health Services
(520) 387-5232
1021 East Palmdale Street
Tucson, AZ
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:
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.) ...

Click here to read the rest of this article from Sober Recovery


Featured Facilities