Using Consent Forms Endicott NY

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.

Outpatient New Horizons
(607) 762-2800
10 Mitchell Avenue
Binghamton, NY
Hotline
(607) 762-2257
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
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Addictions Center of Broome County Inc
(607) 723-7308x124
30 West State Street
Binghamton, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
The Addictions Care Center
(518) 434-8083
90 McCarty Avenue
Albany, NY
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Women, Men
Language Services
Spanish

Data Provided by:
Alianza Dominicana Inc
(212) 740-1960
2410 Amsterdam Avenue
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women
Language Services
Spanish

Data Provided by:
Beth Israel Medical Center
(212) 864-0904x223
132 West 125th Street
New York, NY
Hotline
(212) 420-2059
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, French, Russian, Spanish

Data Provided by:
United Health Services Hospitals Inc
(607) 762-2255
10-42 Mitchell Avenue
Binghamton, NY
Hotline
(607) 762-2257
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Fairview Recovery Services Inc
(607) 722-8987
5 Merrick Street
Binghamton, NY
Services Provided
Halfway house

Data Provided by:
Vertex LLC
(718) 653-1117x116
1080 East Gun Hill Road
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Russian, Spanish

Data Provided by:
Concourse Medical Center Inc
(718) 665-9340
880 Morris Avenue
Bronx, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Creole, French, Spanish

Data Provided by:
Staten Island University Hospital
(718) 306-5125
425 Coney Island Avenue
Brooklyn, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS
Language Services
Creole, French, 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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