Consent: Rules about Obtaining Consent to Disclose Treatment Information High Point NC

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Caring Services Inc
(336) 886-5594
102 Chestnut Street
High Point, NC
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders

Data Provided by:
Incentives Inc
(336) 841-1104
1026 Hutton Lane
High Point, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Alcoholics Home Inc
(336) 882-1026
5884 Riverdale Drive
Jamestown, NC
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Youth Focus
(336) 333-6853x242
5016 West Friendly Avenue
Greensboro, NC
Hotline
(336) 312-3373
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
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Addiction Recovery Care Association
(336) 784-9470x15
1931 Union Cross Road
Winston Salem, NC
Hotline
(336) 784-9470
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
Family Service of the Piedmont
(336) 387-6161x3312
1401 Long Street
High Point, NC
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Alcohol and Drug Services
(336) 882-2125
119 Chestnut Drive
High Point, NC
Hotline
(866) 449-8368
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
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:
Green Center of Growth and Development
(336) 472-4459
25 West Guilford Street
Thomasville, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
ASAP Residential Treatment Youth Focus
(336) 333-6853x242
5016 Friendly Avenue
Greensboro, NC
Hotline
(336) 312-3373
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents

Data Provided by:
Triad Psychiatric and
(336) 632-3505
3511 West Market Street
Greensboro, NC
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

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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