Consent: Rules about Obtaining Consent to Disclose Treatment Information Martinsburg WV

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Martinsburg Institute
(304) 263-1101
Berkeley Plaza
Martinsburg, WV
Services Provided
Substance abuse treatment, Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Women

Data Provided by:
Behavioral Health Services of
(304) 263-7023
99 Tavern Road
Martinsburg, WV
Services Provided
Substance abuse treatment, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
EastRidge Health Systems
(304) 258-2889
Sugar Hollow Industrial Center
Berkeley Springs, WV
Hotline
(304) 258-2903
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Catoctin Counseling Center
(301) 745-6687x201
228 East Washington Street
Hagerstown, MD
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Safe Haven Counseling Center
(301) 766-7214
328 North Potomac
Hagerstown, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Eastridge Health Systems
(304) 263-8954
235 South Water Street
Martinsburg, WV
Hotline
(304) 263-8954
Services Provided
Substance abuse treatment
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Eastridge Health Systems
(304) 725-7565
1212 North Mildred Street
Ranson, WV
Hotline
(304) 263-8954
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
W House Foundation Inc
(301) 791-7826
519 North Locust Street
Hagerstown, MD
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)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Alternative Drug/Alcohol Counseling
(301) 766-0065
920 West Washington Street
Hagerstown, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders

Data Provided by:
Wells House
(301) 739-7748x2
124 East Baltimore Street
Hagerstown, MD
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Men, Criminal justice clients

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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