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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

From the Ashes, Inc. CD OP
(631) 273-2221
300 Motor Parkway
Hauppauge, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Suffolk County Hauppauge
(631) 853-7373
200 Wireless Boulevard
Hauppauge, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Language Services
French, German, Spanish

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Pederson-Krag Center Inc
(631) 920-8300x8336
11 Route 111
Smithtown, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Charles K Post Addiction Treatment Ctr
(631) 434-7209
998 Crooked Hill Road
Brentwood, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Spanish

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Phoenix House
(631) 306-5760
998 Crooked Hill Road
Brentwood, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Suffolk County Div of Community Health
(631) 853-6410
725 Veterans Memorial Highway
Hauppauge, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

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Town of Smithtown/Horizons Counseling
(631) 360-7578
124 West Main Street
Smithtown, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients

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Employee Assistance Resource Servs Inc
(631) 361-6960
278 East Main Street
Smithtown, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men

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Catholic Charities of Rockville Centre
(631) 543-6200
155 Indian Head Road
Commack, NY
Hotline
(631) 589-4144
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Pregnant/postpartum women, Women
Language Services
French, Spanish

Data Provided by:
Town of Islip Dept of Human Services
(631) 436-6065
452 Suffolk Avenue
Brentwood, NY
Hotline
(631) 277-4700
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Women, Men, DUI/DWI offenders, 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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