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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Quest Services Inc
(814) 357-5953
210 1/2 West High Street
Bellefonte, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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Community Service Foundation Inc
(215) 348-8881
253 North Main Street
Sellersville, PA
Services Provided
Substance abuse
Types of Care
Partial hospitalization/day treatment

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Healthy Responses in a
(610) 847-2958
1885 Mountain View Drive
Quakertown, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Pregnant/postpartum women, Women, Men, Criminal justice clients

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Family Servs and Childrens Aid Society
(814) 677-4005
716 East 2nd Street
Oil City, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

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Bethesda PA Treatment & Healing
(570) 387-1051
200 Montour Boulevard
Bloomsburg, PA
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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Clear Concepts Counseling
(814) 355-7629
1082 Zion Road
Bellefonte, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

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Gaudenzia Inc
(717) 233-3424
2039 North 2nd Street
Harrisburg, PA
Hotline
(888) 237-8984
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

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Shalom Inc
(215) 425-7727
1080 North Delaware Avenue
Philadelphia, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
Japanese

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Arche Wellness LLC
(724) 444-1333
49 Qsi Lane
Allison Park, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders

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Cove Forge Behavioral Health System
(814) 452-2991
1940 West 8th Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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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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