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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

New River Behavioral Healthcare
(336) 667-5151
1430 Willow Lane
North Wilkesboro, NC
Hotline
(336) 667-5151
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, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Synergy Recovery at the
(336) 667-7191x228
118 Peace Street
North Wilkesboro, NC
Hotline
(336) 667-5151
Services Provided
Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Robeson Healthcare Corporation
(919) 989-8114
827 North Brightleaf Boulevard
Smithfield, NC
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Palmer Prevention Inc
(910) 618-1135
2501 Elizabethtown Road
Lumberton, NC
Hotline
(910) 740-9894
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Access Behavioral Heathcare
(704) 862-0081
302 South Church Street
Gastonia, 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:
Donlin Group Inc
(336) 838-7371
402 C Street
North Wilkesboro, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
First Things First Inc
(336) 667-8555
1216 D School Street
Wilkesboro, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Universal Mental Health Services Inc
(828) 754-4900
524 Mulberry Street
Lenoir, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
McLeod Addictive Disease Center Inc
(704) 865-1558
549 Cox Road
Gastonia, NC
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

Data Provided by:
Therapeutic Alternatives Inc
(800) 277-3216
4270 Heath Dairy Road
Randleman, NC
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:
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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