Using Consent Forms Burlington VT

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.

Lund Family Center
(802) 864-7467
76 Glen Road
Burlington, VT
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Centerpoint
(802) 654-7711
1025 Airport Drive
South Burlington, VT
Hotline
(802) 864-7777
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Maple Leaf Farm Associates Inc
(802) 899-2911x206
10 Maple Leaf Road
Underhill, VT
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less)
Special Programs/Groups
Women, Men

Data Provided by:
Tri-County Substance Abuse Services
(802) 334-5246
55 Seymour Lane
Newport, VT
Hotline
(802) 334-5246
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
McGee House
(802) 773-5124
30 Washington Street
Rutland, VT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Howard Center
(802) 488-6100
855 Pine Street
Burlington, VT
Hotline
(802) 488-6425
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Spectrum Youth and Family Services
(802) 862-5396x310
177 Pearl Street
Burlington, VT
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Phoenix Houses of New England
(802) 257-4677
435 Western Avenue
Brattleboro, VT
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Men

Data Provided by:
Youth Services Inc
(802) 257-0361
32 Walnut Street
Brattleboro, VT
Hotline
(802) 257-0361
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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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