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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Canton/Potsdam Hospital
(315) 261-5954
50 Leroy Street
Potsdam, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient

Data Provided by:
Saint Lawrence County
(315) 386-2189
80 State Highway 310
Canton, NY
Hotline
(315) 265-2422
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
CAN/AM Youth Services Inc
(315) 764-9700x239
County Route 43
Massena, NY
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Crouse Hospital
(315) 434-2470
6010 East Molloy Road
Syracuse, NY
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Addictions Care Center of Albany
(518) 434-2367
115 Ontario Street
Albany, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
North Country Freedom Homes
(315) 379-0139x11
3702 County Route 14
Madrid, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
North Country Freedom Homes
(315) 379-0139x11
25 Dies Street
Canton, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Monsignor Carr Institute
(716) 835-9745
76 West Humboldt Parkway
Buffalo, NY
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders

Data Provided by:
Neighborhood Coalition for Shelter Inc
(212) 861-0704
921-923 Madison Avenue
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Palladia Inc
(212) 280-1031
360 West 125th Street
New York, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Criminal justice clients
Language Services
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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