Consent: Rules about Obtaining Consent to Disclose Treatment Information Olney MD

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Montgomery General Hospital
(301) 774-8800
18101 Prince Philip Drive
Olney, MD
Hotline
(301) 774-8888
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults

Data Provided by:
Avery House
(301) 762-4651
14705 Avery Road
Rockville, MD
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, Pregnant/postpartum women, Women, Residential beds for clients' children
Language Services
Spanish

Data Provided by:
Avery Road Combined Care
(301) 279-8828x106
14701 Avery Road
Rockville, MD
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Kolmac Clinic
(301) 330-7696
15932 Shady Grove Road
Gaithersburg, MD
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient

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Family Health Center
(301) 963-7222
16220 South Frederick Avenue
Gaithersburg, MD
Hotline
(301) 963-7222
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Portugese, Spanish

Data Provided by:
Metro Counseling Services Inc
(301) 670-6161
15719 Crabbs Branch Way
Rockville, MD
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Avery Road Treatment Center
(301) 762-5613
14703 Avery Road
Rockville, MD
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, French, Hebrew, Spanish

Data Provided by:
Hannahs Aftercare and Rehab Center
(301) 384-1615
1201 Millgrove Road
Silver Spring, MD
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Seniors/older adults, Women, Residential beds for clients' children

Data Provided by:
MRB Counseling Services Inc
(301) 527-0854
317 East Diamond Avenue
Gaithersburg, MD
Hotline
(301) 512-0663
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Montgomery County Dept Health/Human
(240) 777-1680
751 Twinbrook Parkway
Rockville, MD
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
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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