Consent: Rules about Obtaining Consent to Disclose Treatment Information Waipahu HI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

YMCA of Honolulu
(808) 848-2494
94-455 Farrington Highway
Waipahu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

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Alcoholic Rehab Services of Hawaii Inc
(808) 671-6900
94-216 Farrington Highway
Waipahu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

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Naval Health Clinic
(808) 471-9002x450
480 Central Avenue
Pearl Harbor, HI
Services Provided
Substance abuse
Types of Care
Outpatient

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YMCA Outreach Services
(808) 848-2494
91-980 North Road
Ewa Beach, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

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YMCA of Honolulu
(808) 848-2494
99-600 Kulawea Street
Aiea, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian, Samoan

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YMCA Outreach Services
(808) 848-2494
94-1211 Farrington Highway
Waipahu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
Hina Mauka/Teen Care
(808) 453-6035
2100 Hookiekie Street
Pearl City, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Hina Mauka/Teen Care
(808) 627-7747x2347
95-1200 Meheula Parkway
Mililani, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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YMCA of Honolulu
(808) 848-2494
91-884 Fort Weaver Road
Ewa Beach, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
YMCA Outreach Services
(808) 848-2494
98-1276 Ulune Street
Aiea, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

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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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