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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Tri County Community Health
(910) 567-6194
3331 Easy Street
Dunn, NC
Hotline
(910) 296-1851
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Language Services
Spanish

Data Provided by:
Harvest House
(910) 567-5020x5
1480 Maple Grove Church Road
Dunn, NC
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Language Services
Spanish

Data Provided by:
Southern Regional Center Adult
(919) 557-2501
130 North Judd Parkway NE
Fuquay Varina, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
UNA
(336) 370-0655
620 South Elm Street
Greensboro, NC
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Forsyth Substance Abuse Services
(336) 718-3550
3821 Forrestgate Drive
Winston Salem, NC
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Elmore-Blackley Fellowship Home
(910) 892-6017
110 South Layton Avenue
Dunn, NC
Services Provided
Halfway house

Data Provided by:
Southlight Inc
(919) 557-6967
301 Sunset Drive
Fuquay Varina, NC
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Choice SA/MH Inc
(252) 439-1886
101 West 14th Street
Greenville, NC
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Carolina Compreh Psychiatric Services
(252) 439-1011
600 Country Club Drive
Greenville, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
KV Consultants and Associates
(910) 223-7114
106 Hay Street
Fayetteville, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Spanish

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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