Consent: Rules about Obtaining Consent to Disclose Treatment Information Yucca Valley CA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Morongo Basin Mental Health Services
(760) 366-9100x221
65675 Sullivan Road
Joshua Tree, CA
Hotline
(760) 366-9100x237
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Ranch Recovery Centers Inc
(760) 329-2959
12890 Quinta Way
Desert Hot Springs, CA
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)

Data Provided by:
Fred Brown Recovery Services Inc
(310) 519-8723
356 West 13th Street
San Pedro, CA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Language Services
Samoan, Spanish

Data Provided by:
La Vista Alcohol/Drug Recovery Center
(951) 925-8450
2220 Girard Street
San Jacinto, CA
Hotline
(951) 925-8450
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Seniors/older adults

Data Provided by:
Paul Booth MFT CADC NCACII
(805) 642-6779
2580 East Main Street
Ventura, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Soroptimist House of Hope Inc
(760) 329-4673
13525 Cielo Azul Way
Desert Hot Springs, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
Spanish

Data Provided by:
Bernie''s Lil Women Center
(213) 280-1012
8042 Yolanda Street
Reseda, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women
Language Services
Spanish

Data Provided by:
MACT Org
(209) 257-2430
Jackson Rancheria Health Complex
Jackson, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Phoenix House of San Diego Inc
(760) 729-2830
785 Grand Avenue
Carlsbad, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
Walden House
(415) 554-1131
1885 Mission Street
San Francisco, CA
Services Provided
Substance abuse
Types of Care
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:
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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