Consent: Rules about Obtaining Consent to Disclose Treatment Information Madisonville KY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Pennyroyal MH/MR Board
(270) 821-8874
1303 West Noel Avenue
Madisonville, KY
Hotline
(877) 473-7766
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Behavioral Resources Inc
(270) 824-9355
16 Court Street
Madisonville, KY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Pennyroyal Mental Health Services
(270) 338-5211
506 Hopkinsville Street
Greenville, KY
Hotline
(877) 473-7766
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Center for Behavioral Health KY Inc
(502) 894-0234
1402 Browns Lane
Louisville, KY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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Hope Center
(859) 252-2002x228
1524 Versailles Road
Lexington, KY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

Data Provided by:
New Horizons Counseling
(270) 821-1784
15 North Harrig Street
Madisonville, KY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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River Valley Behavioral Healthcare
(270) 667-7092
606 1st Street
Providence, KY
Hotline
(270) 685-5246
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Phoenix Perferred Care
(606) 340-8184
1616 Highway By Pass 90
Monticello, KY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
A New Decision
(502) 227-8299
313 Saint Clair Street
Frankfort, KY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Better Alternatives Counseling
(502) 454-6350
1169 Eastern Parkway
Louisville, KY
Hotline
(502) 619-3196
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, Gays and Lesbians, Women, DUI/DWI offenders, Criminal justice clients

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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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