Using Consent Forms Charlottesville 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.

Region Ten CSB
(434) 972-1829
401 4th Street NW
Charlottesville, VA
Services Provided
Substance abuse , 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
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Center for Psychiatric and
(703) 369-8464
8680 Hospital Way
Manassas, VA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Inova Kellar Center Behavioral
(703) 218-8500
11204 Waples Mill Road
Fairfax, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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:
Rappahannock Area Comm Services Board
(540) 373-3223x3050
600 Jackson Street
Fredericksburg, VA
Hotline
(540) 373-6876
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, German

Data Provided by:
Addiction Recovery Systems LLC
(434) 220-0080
1575 State Farm Boulevard
Charlottesville, VA
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS

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:
Rappahannock Area Comm Services Board
(540) 582-3980x3015
7424 Brock Road
Spotsylvania, VA
Hotline
(540) 373-6876
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
Spanish

Data Provided by:
Dickenson County Behavioral Services
(276) 926-1680
133 McClure Avenue
Clintwood, VA
Hotline
(276) 926-1650
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Mental Health Substance Abuse Division
(757) 385-0850
289 Independence Boulevard
Virginia Beach, VA
Hotline
(757) 437-6150
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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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