Using Consent Forms Arcata CA

When a rehab program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse.

United Indian Health Services
(707) 825-5000
1600 Weeot Way
Arcata, CA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Healthy Moms Program
(707) 441-5220
2910 H Street
Eureka, CA
Hotline
(707) 476-4054
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Humboldt Co Dept of Hlth Human
(707) 476-4054
720 Wood Street
Eureka, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

Data Provided by:
Humboldt Recovery Center Inc
(707) 443-4237
905 L Street
Eureka, CA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men, Criminal justice clients

Data Provided by:
Women''s Odyssey Organization Inc
(818) 998-8972
20830 Parthenia Street
Canoga Park, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients

Data Provided by:
Alcohol Drug Care Services Inc
(707) 445-1391
528 5th Street
Eureka, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient

Data Provided by:
Alcohol and Drug Care Services Inc
(707) 445-3869
1335 C Street
Eureka, CA
Services Provided
Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
North Coast Subst Abuse Council Inc
(707) 445-0869
1205 Myrtle Avenue
Eureka, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient

Data Provided by:
Latino Commission on Alc/DA Services
(415) 558-9125
1724 - 1726 Bryant Street
San Francisco, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Residential beds for clients' children
Language Services
Spanish

Data Provided by:
Catholic Charities of Santa Clara Cnty
(408) 468-0100
2625 Zanker Road
San Jose, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

Data Provided by:
Data Provided by:

Using Consent Forms

Using Consent Forms

The fact that a client has signed a valid consent form authorizing the release of information does not mean that a program must make the proposed disclosure, unless the program has also received a subpoena or court order (§§2.3(b)(1); 2.61(a)(b)). In most cases, the decision whether to make a disclosure authorized by a client’s signed consent is up to the program, unless State law requires or prohibits a particular disclosure once consent is given. The program’s only obligation under the Federal regulations is to refuse to honor a consent that is expired, deficient, or otherwise known to be revoked, false, or incorrect (§2.31(c)).

In general, it is best to follow this rule: Disclose only what is necessary, for only as long as is necessary, keeping in mind the purpose for disclosing the information.

Using consent forms to seek information from collateral sources

Making inquiries of families, partners, schools, employers, doctors, and other health care providers might, at first glance, seem to pose no risk to a client’s right to confidentiality. But it does.

When a program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse. The Federal regulations generally prohibit this kind of disclosure unless the clie...

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