Consent: Rules about Obtaining Consent to Disclose Treatment Information Mountain Home AR

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Ozark Counseling Services Inc
(870) 425-6901x11
8 Medical Plaza
Mountain Home, AR
Hotline
(800) 946-1111
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ozark Counseling Services Inc
(870) 449-5177
319 Highway 14 South
Yellville, AR
Hotline
(800) 946-1111
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Gyst House Inc
(501) 568-1682
8101 Frenchman Lane
Little Rock, AR
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Outpatient

Data Provided by:
Serenity House
(501) 663-7627
2801 West Roosevelt Road
Little Rock, AR
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
BridgeWay
(501) 771-1500
21 Bridgeway Road
North Little Rock, AR
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
OMART Inc
(870) 435-6200
116 Snowball Drive
Gassville, AR
Services Provided
Substance abuse
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Women, Men
Language Services
French, Korean, Spanish

Data Provided by:
Decision Point Inc
(479) 756-1060
301 Holcomb Street
Springdale, AR
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Ozark Counseling Services Inc
(870) 448-3724
200 East Main Street
Marshall, AR
Hotline
(800) 946-1111
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Southwest Arkansas Counseling MH Ctr
(870) 773-4655
2904 Arkansas Boulevard
Texarkana, AR
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Capstone Treatment Center
(501) 729-4479
120 Meghan Lane
Judsonia, AR
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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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