Consent: Rules about Obtaining Consent to Disclose Treatment Information Rome GA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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 Horizons Treatment Center
(706) 233-9603
36 Chateau Court
Rome, GA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

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Floyd Behavioral Health Center
(706) 509-3500
306 Shorter Avenue
Rome, GA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Seniors/older adults

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Cartersville Center Inc
(770) 386-1907
218 Stonewall Street
Cartersville, GA
Hotline
(800) 797-6237x11
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women

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Behavioral Health Services of South GA
(229) 386-3494
334 Tifton-Eldorado Road
Tifton, GA
Hotline
(800) 715-4225
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

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Northside Hospital Substance Abuse Ctr
(404) 851-8960
1140 Hammond Drive
Atlanta, GA
Hotline
(800) 715-4225
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

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Highland Rivers Community Servs Board
(706) 233-9023
43 Chateau Court SE
Rome, GA
Hotline
(800) 493-1932
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Lookout Mountain Community Services
(706) 857-5441
83 Highway 48
Summerville, GA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Quentin Price MD
(478) 275-6811x1175
2121 Bellevue Road
Dublin, GA
Hotline
(800) 868-5423
Services Provided
Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Alliance Recovery Center Conyers
(770) 922-4482
3430 Highway 20
Conyers, GA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

Data Provided by:
GPA Treatment Inc
(770) 493-1922
4255 Chamblee-Tucker Road
Doraville, GA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women

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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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