Consent: Rules about Obtaining Consent to Disclose Treatment Information New Philadelphia OH

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Personal and Family Counseling Servs
(330) 343-8171
1433 5th Street NW
New Philadelphia, OH
Hotline
(330) 364-1374
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Tuscarawas County
(330) 343-5555x183
897 East Iron Avenue Extended
Dover, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Affinity Medical Center
(330) 830-6987
875 8th Street NE
Massillon, OH
Hotline
(330) 837-7290
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient

Data Provided by:
Carroll County
(330) 627-5891
100 Canton Road NW
Carrollton, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Health Recovery Services Inc
(740) 385-9895
375 West Front Street
Logan, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Mental Healthcare Inc
(330) 343-6631
201 Hospital Drive
Dover, OH
Hotline
(330) 343-1811
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Men, Criminal justice clients

Data Provided by:
Community Mental Healthcare Inc
(740) 922-3801
204 East 3rd Street
Uhrichsville, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Mental Healthcare Inc
(330) 627-4313
331 West Main Street
Carrollton, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
North Coast Center Inc
(440) 953-9999
38879 Mentor Avenue
Willoughby, OH
Services Provided
Substance abuse
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:
Recovery Services of North West Ohio
(419) 599-7040
219 East Washington Street
Napoleon, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men
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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