Using Consent Forms Auburndale FL

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.

Adjustment and Awareness
(863) 291-3155
243 3rd Street SW
Winter Haven, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Progressive Health Management Inc
(863) 688-6262
1037 Dixieland Mall Lane
Lakeland, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Family Center
(863) 802-0840
5125 Cambry Lane
Lakeland, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Tri County Human Services
(863) 533-5860
2725 State Road 60 East
Bartow, FL
Hotline
(863) 533-4139
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
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Sutton Place Behavioral Health
(904) 225-8232x444
463142 SR 200 West
Yulee, FL
Hotline
(904) 491-2001
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Tri County Human Services
(863) 299-5286
41 3rd Street SW
Winter Haven, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Tri County Human Services
(863) 701-7373
5421 U.S. Highway 98 South
Highland City, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Lakeland Centers
(863) 687-9900
3506 Lakeland Hills Boulevard
Lakeland, FL
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Pregnant/postpartum women, Women, Men, Criminal justice clients

Data Provided by:
Drug Abuse Comprehensive Coord Office
(813) 752-6960
408 West Renfro Street
Plant City, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Seniors/older adults, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Hanley Center Treatment Programs
(561) 841-1000
933 45th Street
West Palm Beach, FL
Services Provided
Substance abuse , Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men
Language Services
Spanish

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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