Consent: Rules about Obtaining Consent to Disclose Treatment Information Norfolk NE

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Behavioral Health Specialists Inc
(402) 370-3140
900 West Norfolk Avenue
Norfolk, NE
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Women''s Empowering Life Line Inc
(402) 379-3622
305 North 9th Street
Norfolk, NE
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

Data Provided by:
Faith Regional Health Services
(402) 644-7329
1500 Koenigstein Avenue
Norfolk, NE
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, Women, Men

Data Provided by:
Lutheran Family Services
(402) 721-1774
513 North D Street
Fremont, NE
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Saint Francis
(308) 865-2338
1755 Prairie View Place
Kearney, NE
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Ponca Tribe of Nebraska
(402) 371-8834
1800 Syracuse Avenue
Norfolk, NE
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Odyssey III
(402) 371-7215
401 South 17th Street
Norfolk, NE
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Link Inc
(402) 371-5310
1001 Norfolk Avenue
Norfolk, NE
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men

Data Provided by:
ARCH Inc
(402) 556-6425
1502 North 58th Street
Omaha, NE
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
O''Neill Valley Hope
(402) 336-3747
1421 North 10th Street
ONeill, NE
Hotline
(800) 544-5101
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents

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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