Using Consent Forms Avenal 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.

Lifestyle Impact
(559) 222-1711
247 Washington Street
Coalinga, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Spanish

Data Provided by:
MFI Recovery Center
(951) 683-6596
5870 Arlington Avenue
Riverside, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women
Language Services
Spanish

Data Provided by:
Campobello Chemical Dependency
(707) 579-4066
3250 Guerneville Road
Santa Rosa, CA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Men

Data Provided by:
Riverside County Latino Commission on
(760) 347-9442
83-844 Hopi Avenue
Indio, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
Spanish

Data Provided by:
Get Off Drugs/Men''s Home
(310) 635-9740
515 East 55th Street
Long Beach, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Men

Data Provided by:
Teen Solutions
(415) 760-8541
311 Miller Avenue
Mill Valley, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men

Data Provided by:
Genesis Programs Inc -- Ventura
(805) 650-3094
1650 Palma Drive
Ventura, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Westside Methadone Treatment Program
(415) 563-8200
1301 Pierce Street
San Francisco, CA
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Beacon House Association of San Pedro
(310) 514-4940
1003 South Beacon Street
San Pedro, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
Spanish

Data Provided by:
Western Pacific Norwalk Medical Clinic
(562) 929-7188
11902 East Rosecrans Boulevard
Norwalk, CA
Hotline
(562) 929-7188
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women
Language Services
Arabic, 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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