Consent: Rules about Obtaining Consent to Disclose Treatment Information Fort Lee NJ

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Candace Boltuch-Fagan
(201) 585-9814
2357 Lemoine Avenue
Fort Lee, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

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Alianza Dominicana Inc
(212) 740-1960
2410 Amsterdam Avenue
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women
Language Services
Spanish

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Metropolitan Center for Mental Health
(212) 543-4445
1090 Saint Nicholas Avenue
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Women, Men
Language Services
Spanish

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New York Foundling Hospital
(718) 772-0205
2090 Adam Clayton Powell Jr Boulevard
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

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Palladia Inc
(212) 280-1031
360 West 125th Street
New York, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Criminal justice clients
Language Services
Spanish

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Behavioral Counseling Associates
(201) 592-9002
1495 Palisade Avenue
Fort Lee, NJ
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

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ARTC Manhattan
(510) 647-4620
500 West 180th Street
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men
Language Services
Spanish

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SCAN/NY Family Renewal Center
(718) 293-2230
1377 Jerome Avenue
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Portugese, Spanish

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Phase Piggy Back Inc
(212) 234-1660
507 West 145th Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
ARTC Manhattan
(212) 932-2810
119-121 West 124th Street
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men
Language Services
Spanish

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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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