Using Consent Forms Booneville MS

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.

Region IV MH/MR Commission
(662) 286-7199
401 New Hope Drive
Corinth, MS
Hotline
(888) 287-4443
Services Provided
Substance abuse , Detoxification, Halfway house
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, DUI/DWI offenders

Data Provided by:
Region I Mental Health Center
(662) 363-3222
985 West Edwards Street
Tunica, MS
Hotline
(662) 902-7296
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Region I Mental Health Center
(662) 326-4445
First Street
Marks, MS
Hotline
(662) 902-7296
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Baptist Memorial Hospital
(662) 244-2162
525 Willowbrook Road
Columbus, MS
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Weems Community Mental Health Center
(601) 776-6051
100 Park Place
Quitman, MS
Hotline
(800) 803-0245
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Pine Grove Recovery Center
(800) 321-8750
2255 Broadway Drive
Hattiesburg, MS
Hotline
(800) 321-8750x4812
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential long-term treatment (more than 30 days), 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:
Communicare
(662) 473-3693
214 Frostland Drive
Water Valley, MS
Hotline
(662) 234-7521
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
North Mississippi Medical Center
(662) 377-3161
4579 South Eason Street
Tupelo, MS
Hotline
(800) 442-2238
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Mississippi State Hospital
(601) 351-8000x4929
3550 Highway 468 West
Whitfield, MS
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Center for Independent Learning
(601) 373-1533x302
1480 Raymond Road
Jackson, MS
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women, Criminal justice clients

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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