Consent: Rules about Obtaining Consent to Disclose Treatment Information Southbury CT

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Griffin Hospital
(203) 732-7541
250 Seymour Avenue
Derby, CT
Hotline
(203) 732-7550
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, Seniors/older adults, Women

Data Provided by:
Connecticut Renaissance Inc
(203) 753-2341
31 Wolcott Street
Waterbury, CT
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Connecticut Junior Republic
(203) 757-9939
80 Prospect Street
Waterbury, CT
Hotline
(800) 286-1234
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
Morris House
(203) 574-3986
26 North Elm Street
Waterbury, CT
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Language Services
Spanish

Data Provided by:
Family Intervention Center
(203) 753-2153
1875 Thomaston Avenue
Waterbury, CT
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Central Naugatuck Valley Help Inc
(203) 756-8984
900 Watertown Avenue
Waterbury, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men

Data Provided by:
Morris Foundation Inc
(203) 755-1143x755
402 East Main Street
Waterbury, CT
Hotline
(203) 755-1143
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women, Men, Criminal justice clients
Language Services
Hindi

Data Provided by:
Saint Mary''s Hospital
(203) 709-6201
100 Jefferson Square
Waterbury, CT
Hotline
(203) 709-6000
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women

Data Provided by:
Midwestern CT Council on Alcoholism
(860) 355-7312
17 East Street
New Milford, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Morris Foundation Inc
(203) 574-3311
79 Beacon Street
Waterbury, CT
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:
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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