Consent: Rules about Obtaining Consent to Disclose Treatment Information Mount Holly NJ

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Burlington Comp Counseling Inc
(609) 267-3610
75 Washington Street
Mount Holly, NJ
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish, Tagalog

Data Provided by:
SODAT of New Jersey Inc
(609) 265-7884
60-62 High Street
Mount Holly, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Counseling Solutions
(609) 386-1155
19 West Broad Street
Burlington, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Blum and Associates LLC
(856) 304-2469
74 East 2nd Street
Moorestown, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Burlington County Drug Abuse Program
(609) 726-7155
610 Pemberton Browns Mills Road
New Lisbon, NJ
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, Persons with HIV/AIDS, Women, Men

Data Provided by:
Lester A Drenk Behavioral Health Ctr
(609) 267-1377
795 Woodlane Road
Mount Holly, NJ
Hotline
(609) 835-6180
Services Provided
Substance abuse
Types of Care
Outpatient

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Hampton Behavioral Health Center
(609) 267-7000x2148
650 Rancocas Road
Westampton, NJ
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Genesis Counseling Center
(856) 234-2121
20000 Horizon Way
Mount Laurel, NJ
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, Criminal justice clients

Data Provided by:
Rehab After Work
(856) 810-1012x546
9003 Lincoln Drive West
Marlton, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders

Data Provided by:
Aurora Consultant and Counseling Servs
(856) 216-8341
Morrestown Office Center
Moorestown, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
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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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