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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Life Changes Counseling
(336) 228-7600
204 East Elm Street
Graham, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
ADS Alcohol and Drug Services
(336) 532-0500
2140 North Church Street
Burlington, NC
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Alamance Regional Medical Center Inc
(336) 538-7888
1240 Huffman Mill Road
Burlington, NC
Hotline
(336) 538-7887
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
UNC Department of Psychiatry
(919) 966-6039
1101 Weaver Dairy Road
Chapel Hill, NC
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Annas Resources Inc
(919) 942-8422
976 Martin Luther King Jr Boulevard
Chapel Hill, NC
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Residential Treatment Services of
(336) 227-7417
Hall Avenue Facility
Burlington, NC
Services Provided
Substance abuse , Detoxification, Halfway house, Buprenorphine Services
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, Persons with HIV/AIDS, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Carolina Behavioral Care
(919) 644-0049
105 West Corbin Street
Hillsborough, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

Data Provided by:
Freedom House Recovery Center
(919) 942-2803x18
104 New Stateside Drive
Chapel Hill, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
Spanish

Data Provided by:
Elizabeth Anton
(919) 942-9842
1829 East Franklin Street
Chapel Hill, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Holly Fitzgerald LCSW
(919) 942-4778
213 Oxford Hills Drive
Chapel Hill, NC
Services Provided
Substance abuse
Types of Care
Outpatient

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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