Consent: Rules about Obtaining Consent to Disclose Treatment Information Rocky Mount NC

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Urton Associates
(252) 451-0000
3300 Sunset Avenue
Rocky Mount, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Nash General
(252) 443-9500
2301 Med Park Drive
Rocky Mount, NC
Hotline
(252) 937-5404x5404
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Verma M Krishna
(252) 291-6200
1810 Westwood Avenue West
Wilson, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
Hindi

Data Provided by:
Cumberland County CommuniCare
(910) 829-9017
711B Executive Place
Fayetteville, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients

Data Provided by:
New Beginnings
(828) 586-4742
1064 Brooks Branch Road
Sylva, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Port Human Services
(252) 442-8100
860 Tiffany Boulevard
Rocky Mount, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Rocky Mount Treatment Center
(252) 972-4357
104 Zebulon Court
Rocky Mount, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

Data Provided by:
Community Alternatives
(704) 336-4844
5800 Executive Center Drive
Charlotte, NC
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Family Home Life Inc
(252) 533-9200
544 Julian R Allsbrook Highway
Roanoke Rapids, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
PRI Counseling Services
(919) 774-7746
2509 Fayetteville Street
Sanford, NC
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Men, DUI/DWI offenders, Criminal justice clients

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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