Consent: Rules about Obtaining Consent to Disclose Treatment Information Irwin PA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Auberle
(412) 673-5856x1303
2513 Fifth Avenue
McKeesport, PA
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Substance abuse
Types of Care
Outpatient

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Turtle Creek Valley MH/MR Inc
(412) 824-9300x692
519 Penn Avenue
Turtle Creek, PA
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

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Outside In Pathway To Recovery Outpait
(724) 837-1518
226 Donohoe Road
Greensburg, PA
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

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Medical Technical Rehab Servs LLC
(724) 834-1144
1037 Compass Circle
Greensburg, PA
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Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women

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UPMC Braddock
(412) 636-5000x5354
400 Holland Avenue
Braddock, PA
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(412) 636-5000
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Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
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ASL or other assistance for hearing impaired

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Gateway/Monroeville
(412) 373-2234
4327 Northern Pike
Monroeville, PA
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Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

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SPHS Behavioral Health
(724) 834-0420
203 South Maple Avenue
Greensburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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Auberle
(724) 853-2460
2909 Seminary Drive
Greensburg, PA
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Substance abuse
Types of Care
Outpatient

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Gateway Pleasant Hills
(412) 466-7734
500 Lewis Run Road
West Mifflin, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

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Pennsylvania Organization for
(412) 271-0500x116
7445 Church Street
Pittsburgh, PA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

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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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