Consent: Rules about Obtaining Consent to Disclose Treatment Information Sebring FL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Social Solutions Inc
(863) 402-1088
1570 Lakeview Drive
Sebring, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women
Language Services
Spanish

Data Provided by:
Tri County Human Services
(863) 452-3858x221
100 West College Drive
Avon Park, FL
Hotline
(863) 533-4139
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Behavioral Sciences Center
(727) 725-0700
727 2nd Street South
Safety Harbor, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Fort Lauderdale Hospital
(800) 585-7527
1601 East Las Olas Boulevard
Fort Lauderdale, FL
Services Provided
Substance abuse , Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians
Language Services
ASL or other assistance for hearing impaired, Creole, French, Spanish

Data Provided by:
Tampa Crossroads Inc
(813) 238-5210
5118 North Nebraksa Avenue
Tampa, FL
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, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Tri County Human Services
(863) 385-2662
5606 U.S. Highway 27 North
Sebring, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Breakthrough Recovery Services Inc
(772) 489-0005
2142 North Highway 1
Fort Pierce, FL
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Archstone Recovery Center Inc
(561) 968-3200
501 West Perry Street
Lantana, FL
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men

Data Provided by:
Phoenix Houses of Florida
(352) 595-5000x6721
15681 North Highway 301
Citra, FL
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Drug Abuse Comprehensive Coord Office
(813) 621-8781
3630 North 50th Street
Tampa, FL
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Men, 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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