Consent: Rules about Obtaining Consent to Disclose Treatment Information Pasadena CA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Pasadena Council on Alcoholism and
(626) 795-9127x103
1245 East Walnut Street
Pasadena, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Spanish

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Gooden Center
(626) 356-0078
191 North El Molino Avenue
Pasadena, CA
Services Provided
Substance abuse , Detoxification, 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
Men

Data Provided by:
Pacific Clinics
(626) 795-8471
70 North Hudson Avenue
Pasadena, CA
Hotline
(877) 722-2737
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

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Action Family Counseling Inc
(626) 792-8106
3813 East Colorado Boulevard
Pasadena, CA
Hotline
(800) 367-8336
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Aegis Medical Systems Inc
(626) 794-1161
1724 East Washington Boulevard
Pasadena, CA
Hotline
(800) 821-0775
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Spanish

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California Drug Consultants
(626) 844-0410
671 East Walnut Street
Pasadena, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Pregnant/postpartum women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish, Vietnamese

Data Provided by:
Casa De Las Amigas
(626) 792-2770
744 East Walnut Avenue
Pasadena, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

Data Provided by:
Walter Hoving Home
(626) 405-0950
127 South El Molino Avenue
Pasadena, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Criminal justice clients

Data Provided by:
Share Oxford Foundation
(800) 798-6606
1628 North Oxford Avenue
Pasadena, CA
Services Provided
Substance abuse , Detoxification, 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

Data Provided by:
Casa Maria
(626) 296-8689
691 East Washington Boulevard
Pasadena, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

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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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