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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Salvation Army Elmira Citadel
(607) 734-0032
401 Division Street
Elmira, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

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Saint Josephs Hospital
(607) 737-7802
555 East Market Street
Elmira, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
ASL or other assistance for hearing impaired

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CC/Rochester
(607) 937-3767
108 Griffith Street
Corning, NY
Services Provided
Halfway house

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Tioga County
(607) 565-9594
80 Donnelly Parkway
Waverly, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians
Language Services
ASL or other assistance for hearing impaired

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Finger Lakes Addictions Counseling and
(315) 462-9466
28 East Main Sstreet
Clifton Springs, NY
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired

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Economic Opportunity Program Inc
(607) 734-6227x352
650 Baldwin Street
Elmira, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women

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Steuben County Alcoholism and
(607) 937-6201
114 Chestnut Street
Corning, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Finger Lakes Addictions Counseling and
(607) 535-8260
Mill Creek Center
Watkins Glen, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

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Saint Lawrence County
(315) 386-2189
80 State Highway 310
Canton, NY
Hotline
(315) 265-2422
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Freeport Pride Inc
(516) 546-2822
33 Guy Lombardo Avenue
Freeport, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired, Spanish

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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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