Consent: Rules about Obtaining Consent to Disclose Treatment Information Hartford CT

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Youth Challenge of Connecticut
(860) 527-2000
32 Atwood Street
Hartford, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

Data Provided by:
The Salvation Army Adult Rehab Center
(860) 527-8106
333 Homestead Avenue
Hartford, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
Polish, Spanish

Data Provided by:
Alcohol and Drug Recov Ctrs Inc ADRC
(860) 714-3703
46 Coventry Street
Hartford, CT
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:
Hogar Crea International of
(860) 232-7353
33 Center Street
Hartford, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Hogar Crea Womens Center
(860) 951-7006
164-166 Bartholomew Avenue
Hartford, CT
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, Women
Language Services
Spanish

Data Provided by:
Wheeler Clinic Inc
(860) 523-9788
645 Farmington Avenue
Hartford, CT
Hotline
(860) 747-3434
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Hartford Dispensary
(860) 525-2181
345 Main Street
Hartford, CT
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Seniors/older adults, Pregnant/postpartum women, Women
Language Services
Spanish

Data Provided by:
Institute for the Hispanic Family
(860) 527-1124x693
80 Jefferson Street
Hartford, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, DUI/DWI offenders
Language Services
Creole, Spanish

Data Provided by:
Community Renewal Team
(860) 714-9200
675 Tower Avenue
Hartford, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
Hebrew, Spanish

Data Provided by:
Community Health Services Inc
(860) 808-8782
500 Albany Avenue
Hartford, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men, Criminal justice clients
Language Services
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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