Using Consent Forms Bassett VA

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.

Memorial Hospital of Martinsville and
(276) 666-7200
320 Hospital Drive
Martinsville, VA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient

Data Provided by:
Piedmont Community Services
(276) 632-7128
24 Clay Street
Martinsville, VA
Hotline
(276) 632-7295
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, Women, Men, Criminal justice clients

Data Provided by:
Mountain Empire Day Reporting Center
(276) 676-5505
252 West Main Street
Abingdon, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Council on Alcoholism
(540) 662-8877
512 South Braddock Street
Winchester, VA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Passages
(276) 632-5685
817 Starling Avenue
Martinsville, VA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men

Data Provided by:
Western Tidewater Mental Health Center
(757) 925-2222
135 South Saratoga Street
Suffolk, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Northwestern Community Services Board
(540) 636-2931
209 West Criser Road
Front Royal, VA
Hotline
(540) 635-4357
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
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Dept of Behavioral Healthcare Service
(757) 393-8896
505 Washington Street
Portsmouth, VA
Hotline
(757) 391-8990
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Virginia Beach
(757) 496-6000
1100 1st Colonial Road
Virginia Beach, VA
Hotline
(757) 627-5433
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women

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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