Consent: Rules about Obtaining Consent to Disclose Treatment Information Hastings NE

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Horizon Recovery and Counseling Center
(402) 462-2066
835 South Burlington Avenue
Hastings, NE
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Bridge Inc
(402) 462-4677
907 South Kansas Street
Hastings, NE
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Women

Data Provided by:
Region II Human Services
(308) 345-2770
1012 West 3rd Street
McCook, NE
Hotline
(877) 269-2079
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, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Blue Valley Behavioral Health
(402) 367-4216
367 E Street
David City, NE
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Heartland Counseling and
(308) 284-6767
401 West 1st Street
Ogallala, NE
Hotline
(877) 269-2079
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
South Central Behavioral Services
(402) 463-5684
616 West 5th Street
Hastings, NE
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Human Services Inc
(308) 762-7177
419 West 25th Street
Alliance, NE
Hotline
(308) 762-7177
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Adolescents, Men, DUI/DWI offenders

Data Provided by:
Nebraska Urban Indian Health Coalition
(402) 346-0902
2240 Landon Court
Omaha, NE
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Seniors/older adults, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Mid Plains Center for
(308) 385-5250
914 Baumann Drive
Grand Island, NE
Hotline
(800) 515-3326
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Northeast Panhandle
(308) 282-1101
305 Foch Street
Gordon, NE
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients

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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