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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Daymark Recovery Center
(336) 751-2195
301 Hospital Street
Mocksville, NC
Hotline
(888) 581-9988
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders

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Treatment Centers LLC
(704) 645-8539
448 Jake Alexander Boulevard West
Salisbury, NC
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Substance abuse , Methadone Maintenance
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Outpatient
Special Programs/Groups
Women

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Daymark Recovery Services
(336) 242-2450
220 East 1st Avenue Extension
Lexington, NC
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Substance abuse
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Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients
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Hope Center LLC
(704) 630-4673
204 East Innes Street
Salisbury, NC
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Substance abuse
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Outpatient

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Gatto Pamela D
(336) 918-0213
1316 Ashley Square
Winston Salem, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

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New Dawn Recovery
(336) 679-6718
624 West Main Street
Yadkinville, NC
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Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women, Men

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Path of Hope Inc
(336) 248-8914
1675 East Center Street
Lexington, NC
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Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
DUI/DWI offenders

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Veterans Affairs Medical Center
(704) 368-9000
1601 Brenner Avenue
Salisbury, NC
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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Challa K. Surya
(336) 245-2743
1509 South Hawthorne Road
Winston-Salem, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

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Winston Psychiatric Associates
(336) 765-6577
125 Ashleybrook Square
Winston Salem, NC
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient

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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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