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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Crossroads Counseling Services Inc
(740) 676-5741
3201 Belmont Street
Bellaire, OH
Hotline
(888) 202-3900
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Crossroads Counseling Services Inc
(740) 695-9447
255 West Main Street
Saint Clairsville, OH
Hotline
(888) 222-3900
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Appalachian Community Health Ctr Inc
(304) 472-2022
27 South Kanawha Street
Buckhannon, WV
Hotline
(888) 357-3232
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
FMRS Health Systems Inc
(304) 256-7100
101 South Eisenhower Drive
Beckley, WV
Hotline
(304) 256-7100
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Residential beds for clients' children, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Logan/Mingo Area Mental Health Inc
(304) 235-2954
Buffalo Creek Road
Chattaroy, WV
Hotline
(304) 235-2954
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
CRC Health Group Inc
(304) 547-9197
Rural Route 1
Triadelphia, WV
Services Provided
Substance abuse treatment, Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men

Data Provided by:
Crossroads Counseling Services Inc
(740) 782-1407
41481 Stenger Road
Belmont, OH
Hotline
(888) 202-3900
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men

Data Provided by:
Laurelwood
(304) 525-5250
432 6th Avenue
Huntington, WV
Services Provided
Halfway house
Special Programs/Groups
Men

Data Provided by:
HealthWays Inc
(304) 723-5440
501 Colliers Way
Weirton, WV
Hotline
(304) 797-6000
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Potomac Highlands MH Guild Inc
(304) 257-1155
6 Park Street
Petersburg, WV
Hotline
(800) 545-4357
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

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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