Consent: Rules about Obtaining Consent to Disclose Treatment Information West Roxbury MA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Substance Abuse Treatment Program
(617) 232-9500x232
150 South Huntington Avenue
Boston, MA
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days), Outpatient

Data Provided by:
Children''s Hosp Martha Eliot Hlth Ctr
(617) 971-2204
75 Bickford Street
Jamaica Plain, MA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Criminal justice clients

Data Provided by:
Victory Programs Inc
(617) 522-2936
170 Morton Street
Jamaica Plain, MA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with HIV/AIDS
Language Services
Portugese, Spanish

Data Provided by:
Roxbury Comp Comm Health Center Inc
(617) 541-3670x221
170 Morton Street
Jamaica Plain, MA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Creole, French, Spanish

Data Provided by:
Transitions
(617) 534-9150
201 River Street
Mattapan, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Spanish

Data Provided by:
Faulkner Hospital
(617) 983-7711
1153 Centre Street
Jamaica Plain, MA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men

Data Provided by:
Brookside Community Health Center
(617) 983-6047
3297 Washington Street
Jamaica Plain, MA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Sullivan House
(617) 524-4416
65 Glen Road
Jamaica Plain, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Gays and Lesbians, Seniors/older adults, Men

Data Provided by:
Arbour Substance Abuse Trt Program
(617) 522-4400x204
49 Robinwood Avenue
Jamaica Plain, MA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Entre Familia
(617) 534-7968
209 River Street
mattapan, MA
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, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
Portugese, 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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