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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Asi Trinity Counseling Services
(919) 496-6382
107 Industrial Drive
Louisburg, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients

Data Provided by:
Prodigious Counseling Services
(252) 433-0300
109 North Garnett Street
Henderson, NC
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, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Genesis Substance Abuse Services
(252) 430-8774
804 South Garnett Street
Henderson, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
W David Holden Counselor
(828) 264-5313
205 Thaxon Lane
Boone, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Hope Valley Inc
(336) 386-8511
105 County Home Road
Dobson, NC
Hotline
(336) 386-8003
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
Eastern Regional Center
(919) 404-3900
1002 Dogwood Drive
Zebulon, NC
Services Provided
Substance abuse
Types of Care
Outpatient

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Family Preservation Services
(252) 438-4740
941 West Andrews Avenue
Henderson, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Chemical Dependency Training
(910) 296-9696
112 Court House Plaza
Kenansville, NC
Hotline
(800) 852-0795
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Recovery Associates
(910) 997-7604
109 West Franklin Street
Rockingham, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Western Carolinians for
(828) 252-2485
218 Patton Avenue
Asheville, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients
Language Services
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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