Consent: Rules about Obtaining Consent to Disclose Treatment Information Lake Placid FL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Tri County Human Services
(863) 385-2662
5606 U.S. Highway 27 North
Sebring, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Treatment Works
(239) 275-5050
3651 Evans Avenue
Fort Myers, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Suncoast Ctrs for Community Health Inc
(727) 894-3533
401 15th Street North
Saint Petersburg, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Center for Drug Free Living Inc
(407) 521-2495
5600 Clarcone-Ocoee Road
Orlando, FL
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Behavioral Health of the Palm Beaches
(561) 848-1332
509 Federal Highway
Lake Park, FL
Hotline
(800) 251-9445
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Women, Men
Language Services
ASL or other assistance for hearing impaired, Creole, French, Spanish

Data Provided by:
Social Solutions Inc
(863) 402-1088
1570 Lakeview Drive
Sebring, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women
Language Services
Spanish

Data Provided by:
Baker Community Counseling Servs Inc
(904) 259-0264
213 East Macclenny Avenue
Macclenny, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Associates for Psychological Services
(954) 680-8155
5400 South University Drive Bldg 1
Davie, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Concept House Inc
(305) 751-6501x22
4850 Northeast 2nd Avenue
Miami, FL
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
Language Services
Creole, Spanish

Data Provided by:
Eckerd Youth Alternatives Inc
(352) 796-9493
397 Culbreath Road
Brooksville, FL
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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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