Consent: Rules about Obtaining Consent to Disclose Treatment Information Whiteville NC

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Annas Resources Inc
(919) 942-8422
976 Martin Luther King Jr Boulevard
Chapel Hill, NC
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
America''s Addiction Treatment Inc
(704) 806-0394
2046 Davie Avenue
Statesville, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
New River Behavioral Healthcare
(336) 667-5151
1430 Willow Lane
North Wilkesboro, NC
Hotline
(336) 667-5151
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, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Chemical Dependency Center
(704) 376-7447
100 Billingsley Road
Charlotte, NC
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Eastover Psychological and
(704) 362-2663
Eastover Awakenings
Charlotte, NC
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Durham Treatment Center
(919) 286-1509
2526 Erwin Road
Durham, NC
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Wake County Larry B Zieverink Sr
(919) 250-1500
3000 Falstaff Road
Raleigh, NC
Hotline
(919) 250-1500
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
Language Services
Spanish

Data Provided by:
Brynn Marr Hospital
(910) 577-1400
192 Village Drive
Jacksonville, NC
Hotline
(910) 577-1900
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Hope Valley Inc
(336) 386-8511
105 County Home Road
Dobson, NC
Hotline
(336) 386-8003
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
Mountain Area Recovery Center West
(828) 454-0560
414 Hospital Drive
Clyde, NC
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Women
Language Services
ASL or other assistance for hearing impaired

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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