Consent: Rules about Obtaining Consent to Disclose Treatment Information Hoboken NJ

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Saint Marys Hospital
(201) 792-8290
527 Clinton Street
Hoboken, NJ
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Saint Vincents Hospital Manhattan
(212) 604-8273
203 West 12th Street
New York, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Gays and Lesbians, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Jersey City Medical Center
(201) 915-2761
395 Grand Street
Jersey City, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
Spanish

Data Provided by:
Beth Israel Medical Center
(212) 420-4220
1st Avenue and 16th Street
New York, NY
Services Provided
Substance abuse , Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women
Language Services
ASL or other assistance for hearing impaired, Hindi, Spanish

Data Provided by:
Women In Need Inc
(212) 695-7330x210
115 West 31st Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with HIV/AIDS, Women

Data Provided by:
Lesbian and Gay Community Servs Center
(212) 620-7310x210
208 West 13th Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Gays and Lesbians, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Beth Israel Medical Center
(212) 206-0635
201 West 13th Street
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired, Russian, Spanish

Data Provided by:
Christ Hospital
(201) 795-8375
179 Palisade Avenue
Jersey City, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
AREBA Casriel Inc
(212) 293-3000
500 West 57th Street
New York, NY
Hotline
(800) 724-4444
Services Provided
Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Language Services
Spanish

Data Provided by:
Inter Care Ltd
(212) 532-0303
51 East 25th Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Women, Men, 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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