Consent: Rules about Obtaining Consent to Disclose Treatment Information Goldsboro NC

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Department of Corrections
(919) 731-7930
1302 West Ash Street
Goldsboro, NC
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Criminal justice clients

Data Provided by:
Family Works
(919) 778-8551
505 North Spence Avenue
Goldsboro, NC
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
ADS Alcohol and Drug Services
(336) 532-0500
2140 North Church Street
Burlington, NC
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
First at Blue Ridge Inc
(828) 669-0011
32 Knox Road
Ridgecrest, NC
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)

Data Provided by:
Triad Psychiatric and
(336) 632-3505
3511 West Market Street
Greensboro, NC
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Blue Horizons
(919) 734-1579
401 North Randolph Street
Goldsboro, NC
Hotline
(919) 734-1519
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
George J Scontsas
(910) 251-8414
1201 Medical Center Drive
Wilmington, NC
Services Provided
Detoxification
Types of Care
Outpatient

Data Provided by:
Family Wellness and Recovery Services
(919) 968-8680
263 Penny Lane
Pittsboro, NC
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Walter B Jones
(252) 830-3426
2577 West 5th Street
Greenville, NC
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women
Language Services
Spanish

Data Provided by:
Mecklenburg County Area MH Authority
(704) 336-3067
429 Billingsley Road
Charlotte, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with HIV/AIDS, Women, Men
Language Services
ASL or other assistance for hearing impaired

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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