Consent: Rules about Obtaining Consent to Disclose Treatment Information Haines City 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Adjustment and Awareness
(863) 291-3155
243 3rd Street SW
Winter Haven, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

Data Provided by:
ACT Center Inc
(407) 846-2511
3501 West Vine Street
Kissimmee, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Park Place Behavioral Healthcare
(407) 846-0023
511 North Dillingham Street
Kissimmee, FL
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Lifestream Behavioral Center
(352) 360-6680
215 North 3rd Street
Leesburg, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Jewish Community Services of South FL
(305) 672-8080
300 41st Street
Miami Beach, FL
Hotline
(305) 576-6550
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Gays and Lesbians, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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:
Tri County Human Services
(863) 701-7373
5421 U.S. Highway 98 South
Highland City, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Tri County Human Services
(863) 533-5860
2725 State Road 60 East
Bartow, FL
Hotline
(863) 533-4139
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Fair Winds/IOP
(904) 733-1573
555 Stockton Street
Jacksonville, FL
Hotline
(877) 389-9966
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Maximum Counseling Services Inc
(305) 895-2626
915 NE 125th Street
North Miami, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, DUI/DWI offenders, Criminal justice clients
Language Services
Creole, French, 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.) ...

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