Using Consent Forms Berwick PA

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.

Clear Brook Lodge
(570) 864-3116
890 Bethel Hill Road
Shickshinny, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents

Data Provided by:
Psychological Services
(570) 398-1269
140 Market Street
Bloomsburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Northeast Counseling Services
(570) 455-6385
750 East Broad Street
Hazleton, PA
Hotline
(570) 455-6385
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women

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Gaudenzia Inc
(570) 875-4700
95 Broad Street
Ashland, PA
Hotline
(570) 875-4700
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
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Good Samaritan Counseling Center
(570) 622-5898
10 East Spruce Street
Frackville, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Bethesda PA Treatment & Healing
(570) 387-1051
200 Montour Boulevard
Bloomsburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

Data Provided by:
Northeast Counseling Services
(570) 735-7590
130 West Washington Street
Nanticoke, PA
Hotline
(570) 735-7590
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
A Better Today Inc
(570) 455-9222
21 North Church Street
Hazleton, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Psychological Services Clinic
(570) 286-5081
405 Bloom Road
Danville, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Glenbiegh Center of Erie
(814) 864-4226
4906 Richmond Street
Erie, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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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