Consent: Rules about Obtaining Consent to Disclose Treatment Information Vestal NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Outpatient New Horizons
(607) 762-2800
10 Mitchell Avenue
Binghamton, NY
Hotline
(607) 762-2257
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired

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Addictions Center of Broome County Inc
(607) 723-7308x124
30 West State Street
Binghamton, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
Bethesda PA Treatment & Healing
(570) 278-1523
6 Ellsworth Drive
South Montrose, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

Data Provided by:
Lutheran Medical Center
(718) 630-7363x6551
150 55th Street
Brooklyn, NY
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Rescue Mission of Utica Inc
(315) 735-1645x162
210 Lansing Street
Utica, NY
Services Provided
Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
United Health Services Hospitals Inc
(607) 762-2255
10-42 Mitchell Avenue
Binghamton, NY
Hotline
(607) 762-2257
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Fairview Recovery Services Inc
(607) 722-8987
5 Merrick Street
Binghamton, NY
Services Provided
Halfway house

Data Provided by:
Saint Josephs Rehabilitation Center
(845) 483-7051
7 Fallkill Place
Poughkeepsie, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Men

Data Provided by:
Suffolk County Div of Community Health
(631) 853-6410
725 Veterans Memorial Highway
Hauppauge, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

Data Provided by:
Central Harlem Alcohol Crisis Center
(212) 865-6133
419 West 126th Street
New York, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with HIV/AIDS
Language Services
Creole, French, 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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