Consent: Rules about Obtaining Consent to Disclose Treatment Information West New York NJ

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

North Hudson Community Action Corp
(201) 866-9320x214
5301 Broadway
West New York, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
CURA Inc
(973) 622-3570
595 County Avenue
Secaucus, NJ
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Criminal justice clients
Language Services
Spanish

Data Provided by:
Veritas Therapeutic Community Inc
(212) 666-1411x124
68 106th Street
New York, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Women, Men, Criminal justice clients

Data Provided by:
Inpatient Rehabilitation Unit
(212) 523-8516
1000 10th Avenue
New York, NY
Hotline
(212) 523-6491
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS
Language Services
Spanish

Data Provided by:
NRI Group LLC
(212) 957-0776
455-458 West 50th Street
New York, NY
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Language Services
Spanish

Data Provided by:
Palisades Medical Center
(201) 854-0500
7101 Kennedy Boulevard
North Bergen, NJ
Hotline
(201) 854-6300
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Addiction Institute of NY Saint Lukes
(212) 523-6150
1000 10th Avenue
New York, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Integrity Inc
(201) 583-7100x7126
595 County Avenue
Secaucus, NJ
Services Provided
Substance abuse , Methadone Maintenance, Halfway house, Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Women, Men, Criminal justice clients

Data Provided by:
TRI Center Inc
(212) 268-8830
1369 Broadway
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Criminal justice clients
Language Services
Spanish

Data Provided by:
Hazelden New York
(212) 420-9520
322 8th Avenue
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

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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