Consent: Rules about Obtaining Consent to Disclose Treatment Information Fort Walton Beach FL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Bridgeway Center Inc
(850) 833-7400
137 Hospital Drive
Fort Walton Beach, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients

Data Provided by:
Lakeview Center Inc
(850) 609-1004
1 11th Avenue
Shalimar, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Narconon Gulf Coast Inc
(850) 654-7986
3391 Scenic Highway 98 East
Destin, FL
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Sunlight Recovery LLC
(954) 421-6242
505 South Federal Highway
Deerfield Beach, FL
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Men

Data Provided by:
Southwest FL Addiction Services Inc
(863) 902-3334
533 East El Paso Street
Clewiston, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Gulf Coast Treatment Center
(850) 863-4160
1015 Mar Walt Drive
Fort Walton Beach, FL
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents

Data Provided by:
Eglin Air Force Base/Alcohol and Drug
(850) 883-9352
96 MDOS/SGOHA
Eglin AFB, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

Data Provided by:
Twelve Oaks Alc/Drug Treatment Center
(850) 939-1200x212
2068 Healthcare Avenue
Navarre, FL
Hotline
(800) 622-1255
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

Data Provided by:
Tri County Human Services
(863) 299-5286
41 3rd Street SW
Winter Haven, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Recovery Resources Enterprises Inc
(561) 882-9821
450 North Lake Boulevard
North Palm Beach, FL
Services Provided
Substance abuse , 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

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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