Consent: Rules about Obtaining Consent to Disclose Treatment Information Hamburg NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Erie County Medical Center Corporation
(716) 648-7584
4390 Quinby Drive
Hamburg, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

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Cazenovia Recovery Systems Inc
(716) 992-4972
9136 Sandrock Road
Eden, NY
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Men

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Alcohol and Drug Dependency Services
(716) 854-2977
Stepping Stones
West Seneca, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Spectrum Human Services
(716) 828-0560
2040 Seneca Street
Buffalo, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Mid Erie Counseling and Trt Services
(716) 896-7712
1131 Broadway Street
Buffalo, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

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Spectrum Human Services
(716) 662-6638
227 Thorn Avenue
Orchard Park, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Excellus Health Plan Inc
(716) 668-6170x6035
130 Empire Drive
West Seneca, NY
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Cazenovia Recovery Systems Inc
(716) 822-8932
486 North Legion Drive
Buffalo, NY
Services Provided
Halfway house

Data Provided by:
Alcohol and Drug Dependency Services
(716) 892-7401
2025 Broadway Street
Buffalo, NY
Hotline
(716) 892-7401
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men, Criminal justice clients

Data Provided by:
Cazenovia Recovery Systems Inc
(716) 894-7274
605 Fillmore Avenue
Buffalo, NY
Services Provided
Halfway house

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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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