Consent: Rules about Obtaining Consent to Disclose Treatment Information Princeton WV

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Southern Highlands Comm MH Center Inc
(304) 425-9541x228
200 12th Street Extension
Princeton, WV
Hotline
(304) 425-0122
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Martinsburg Institute
(304) 263-1101
Berkeley Plaza
Martinsburg, WV
Services Provided
Substance abuse treatment, Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Women

Data Provided by:
Potomac Highlands MH Guild Inc
(304) 358-2351
100 Maple Avenue
Franklin, WV
Hotline
(800) 545-4357
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Logan/Mingo Area Mental Health Inc
(304) 235-2954
Buffalo Creek Road
Chattaroy, WV
Hotline
(304) 235-2954
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Clarksburg Treatment Center
(304) 622-7511
706 Oakmound Road
Clarksburg, WV
Services Provided
Substance abuse treatment, Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women

Data Provided by:
Mercer County Fellowship Home Inc
(304) 327-9876
421 Scott Street
Bluefield, WV
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Valley Healthcare System
(304) 265-3947
501 North Pike Street
Grafton, WV
Hotline
(800) 232-0020
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Potomac Highlands MH Guild Inc
(304) 788-2241
Mineral County Office
Keyser, WV
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Oasis Behavioral Health Services LLC
(304) 733-3331
689 Central Avenue
Barboursville, WV
Services Provided
Substance abuse treatment, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
United Summit Center
(304) 269-5220
37 Elizabeth Drive
Weston, WV
Hotline
(800) 786-6480
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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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