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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Department of Corrections
(919) 731-7930
1302 West Ash Street
Goldsboro, NC
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Criminal justice clients

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Family Works
(919) 778-8551
505 North Spence Avenue
Goldsboro, NC
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Chemical Dependency Training
(910) 296-9696
112 Court House Plaza
Kenansville, NC
Hotline
(800) 852-0795
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Americas Addiction Treatment Inc
(704) 806-0394
117 North New Hope Road
Gastonia, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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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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Blue Horizons
(919) 734-1579
401 North Randolph Street
Goldsboro, NC
Hotline
(919) 734-1519
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Hope In The Carolina LLC
(910) 296-6244
149 Limestone Road
Kenansville, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Language Services
ASL or other assistance for hearing impaired, Navajo, Spanish, Yupik

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Therapeutic Strategies, INC
(919) 329-6001
149 US Highway 70 East
Garner, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Green Freida
(910) 592-4507
307-A Vance Street
Clinton, NC
Services Provided
Substance abuse , Detoxification
Types of Care
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:
Dominion Ministries Inc
(919) 416-1830
1530 North Gregson Street
Durham, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

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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