Consent: Rules about Obtaining Consent to Disclose Treatment Information Monroe NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Fortune Society Inc
(212) 691-7554
2976 Northern Boulevard
Long Island City, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

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Lisa J Forshee
(315) 475-1771
109 South Warren Street
Syracuse, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

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Harlem Hospital Center
(212) 865-1099
264 West 118th Street
New York, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women
Language Services
French, Guyanese Creole English, Spanish

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Saint Josephs Hospital
(914) 378-7566
8 Guion Street
Yonkers, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Seniors/older adults, Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired, Spanish

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Alcohol and Drug Dependency Services
(716) 854-2997
291 Elm Street
Buffalo, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Language Services
Spanish

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Westchester Community Opportunity Prog
(914) 664-4042
54 South 3rd Avenue
Mount Vernon, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

Data Provided by:
Riverdale Mental Health Assoc Inc
(718) 796-5300
5676 Riverdale Avenue
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

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Staten Island University Hospital
(718) 306-5125
425 Coney Island Avenue
Brooklyn, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS
Language Services
Creole, French, Spanish

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Beth Israel Medical Center
(212) 206-0635
201 West 13th Street
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired, Russian, Spanish

Data Provided by:
Saint Johns Riverside Hospital
(914) 668-1450
20 East 1st Street
Mount Vernon, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Women, Men, 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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