Consent: Rules about Obtaining Consent to Disclose Treatment Information Front Royal VA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Northwestern Community Services Board
(540) 636-2931
209 West Criser Road
Front Royal, VA
Hotline
(540) 635-4357
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired

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Council on Alcoholism
(540) 662-8877
512 South Braddock Street
Winchester, VA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

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Hampton Roads Clinic
(757) 240-5223
2712 Washington Avenue
Newport News, VA
Hotline
(757) 380-9024
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women
Language Services
ASL or other assistance for hearing impaired

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Goochland/Powhatan Community Services
(804) 556-5400
3058 River Road West
Goochland, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired

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Bacon Street Inc
(757) 253-0111
247 McLaws Circle
Williamsburg, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Bridging the Gaps Inc
(540) 535-1111
423 West Cork Street
Winchester, VA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

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Northwestern Community Services Board
(540) 459-5180
441 North Main Street
Woodstock, VA
Hotline
(540) 459-4271
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, Criminal justice clients

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Recovery For The City International
(757) 575-0952
3419 Virginia Beach Blvd
Virginia Beach, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, Criminal justice clients

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Inova Loudoun Hospital
(703) 771-2894
224 Cornwall Street NW
Leesburg, VA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Seniors/older adults

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Ethos Foundation
(703) 535-6800
312 South Washington Street
Alexandria, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, DUI/DWI offenders, Criminal justice clients

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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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