Using Consent Forms Culpeper 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.

Behavioral Healthcare/Fauquier
(540) 347-7620
340 Hospital Drive
Warrenton, VA
Hotline
(540) 347-7620
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Human Resources Inc
(804) 644-4636
15 West Cary Street
Richmond, VA
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men

Data Provided by:
Ethos Foundation
(703) 535-6800
312 South Washington Street
Alexandria, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Alcoholic Counseling Services Inc
(434) 793-9806
1021 Main Street
Danville, 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)
Special Programs/Groups
Men

Data Provided by:
Richmond Private Methadone Clinic
(804) 673-5241
4926 West Broad Street
Richmond, VA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

Data Provided by:
Family Focus Counseling Service PC
(540) 349-4537
20 John Marshall Street
Warrenton, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders

Data Provided by:
Loudoun County Mental Health Center
(703) 771-5100
102 Heritage Way NE
Leesburg, VA
Hotline
(703) 777-0320
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Criminal justice clients
Language Services
Spanish

Data Provided by:
Frontier Health Inc
(276) 451-1144
175 Military Lane
Gate City, VA
Hotline
(276) 452-1144
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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:
Bethany Hall Recovery Home for
(540) 343-4261
1109 Franklin Road SW
Roanoke, VA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Residential beds for clients' children

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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