Consent: Rules about Obtaining Consent to Disclose Treatment Information Radford VA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

New River Valley Community Services
(540) 831-4000
7193 Warden Court
Radford, VA
Hotline
(540) 961-8400
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Naval Medical Center Portsmouth
(757) 444-1105x315
1683 Gilbert Street
Norfolk, VA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Bethany Hall Recovery Home for
(540) 343-4261
1109 Franklin Road SW
Roanoke, VA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Residential beds for clients' children

Data Provided by:
Metro Treatment of Virginia LP
(804) 213-0249
1601 Overbrook Road
Richmond, VA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Clinch Valley Treatment Center
(276) 963-3554
111 Town Hollow Road
Cedar Bluff, VA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men

Data Provided by:
New River Valley Community Services
(540) 994-5023
1042 East Main Street
Pulaski, VA
Hotline
(540) 961-8400
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

Data Provided by:
Cumberland Mountain Comm Servs Board
(276) 935-7154
Route 83
Grundy, VA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Western Tidewater Mental Health Center
(757) 925-2222
135 South Saratoga Street
Suffolk, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Frontier Health Inc
(276) 523-8300
3169 2nd Avenue East
Big Stone Gap, VA
Hotline
(276) 523-8300
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Graydon Manor
(703) 777-3485
801 Childrens Center Road
Leesburg, VA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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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