Consent: Rules about Obtaining Consent to Disclose Treatment Information Plattsburgh NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Clinton County Alcoholism Services
(518) 565-4020
16 Ampersand Drive
Plattsburgh, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Conifer Park Inc
(518) 561-0130
80 Sharron Avenue
Plattsburgh, NY
Hotline
(518) 281-9431
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Spanish

Data Provided by:
Lund Family Center
(802) 864-7467
76 Glen Road
Burlington, VT
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Howard Center
(802) 524-6265
172 Fairfield Street
Saint Albans, VT
Hotline
(802) 488-6425
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Alternatives Counseling Outpt Service
(631) 369-1200
554 East Main Street
Riverhead, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Behavioral Health Services North Inc
(518) 562-8119
75 Oak Street
Plattsburgh, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
Spectrum Youth and Family Services
(802) 862-5396x310
177 Pearl Street
Burlington, VT
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Howard Center
(802) 488-6100
855 Pine Street
Burlington, VT
Hotline
(802) 488-6425
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Fairview Recovery Services Inc
(607) 722-8987
5 Merrick Street
Binghamton, NY
Services Provided
Halfway house

Data Provided by:
Saint Regis Mohawk Health Services
(518) 358-2223
25 Saint Regis Road
Hogansburg, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Pregnant/postpartum women, Women, Men
Language Services
Mohawk

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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