Using Consent Forms Clemmons NC

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.

Winston Psychiatric Associates
(336) 765-6577
125 Ashleybrook Square
Winston Salem, NC
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Challa K. Surya
(336) 245-2743
1509 South Hawthorne Road
Winston-Salem, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

Data Provided by:
Gatto Pamela D
(336) 918-0213
1316 Ashley Square
Winston Salem, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
The Children''s Home
(336) 721-7600
1001 Reynolda Road
Winston Salem, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Psycare of Triad
(336) 774-3988
122 North Spruce Street
Winston Salem, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Forsyth Substance Abuse Services
(336) 718-3550
3821 Forrestgate Drive
Winston Salem, NC
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Family Behavioral Health PLLC
(336) 765-6033
3000 Bethesda Place
Winston-Salem, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Pamela D Gatto
(336) 760-4320
193 Kinloch Court
Winston Salem, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Nancy Foushee LCSW
(336) 917-0022
2910 Briarcliffe Road
Winston Salem, NC
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Insight Human Services
(336) 725-8389
665 West 4th Street
Winston Salem, NC
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
Spanish

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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