Using Consent Forms Derry NH

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.

Silverman and Associates Inc
(603) 329-6440
2 Village Green Road
Hampstead, NH
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Men

Data Provided by:
Metro Treatment of New Hampshire LP
(603) 622-5005
5 Driving Park Road
Manchester, NH
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Farnum Center
(603) 622-3020x11
235 Hanover Street
Manchester, NH
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient

Data Provided by:
NH Div Alcohol/Drug Abuse Prevention
(603) 668-2971
15-17 Brook Street
Manchester, NH
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
Habit Management
(603) 622-4747
20 Market Street
Manchester, NH
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women

Data Provided by:
Quitting Time At Hampstead Hospital
(603) 329-5833
218 East Road
Hampstead, NH
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Merrimack River Medical
(603) 595-3399
323 Derry Road
Hudson, NH
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men
Language Services
Spanish

Data Provided by:
Child and Family Services
(603) 518-4304
99 Hanover Street
Manchester, NH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Serenity Place
(603) 625-6980
93-101 Manchester Street
Manchester, NH
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Youth Council
(603) 889-1090
112 West Pearl Street
Nashua, NH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
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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