Using Consent Forms Englewood NJ

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.

Van Ost Institute for
(201) 569-6667
150 East Palisade Avenue
Englewood, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Criminal justice clients

Data Provided by:
Addiction Treatment for Latinos
(201) 525-1700
10 Banta Place
Hackensack, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
ARTC Manhattan
(510) 647-4620
500 West 180th Street
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men
Language Services
Spanish

Data Provided by:
Integrative Recovery Group
(201) 678-1999
200 Passaic Street
Hackensack, NJ
Hotline
(800) 322-5525
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Women, DUI/DWI offenders
Language Services
Korean, Polish, Romanian, Russian, Spanish

Data Provided by:
Candace Boltuch-Fagan
(201) 585-9814
2357 Lemoine Avenue
Fort Lee, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Bergen County Community Action
(201) 342-0029
261 State Street
Hackensack, NJ
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Adolescent Substance Abuse Program
(201) 336-7350
1 Bergen County Plaza
Hackensack, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients

Data Provided by:
Vantage Health System
(201) 385-4400x3058
2 Park Avenue
Dumont, NJ
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Riverdale Mental Health Assoc Inc
(718) 796-5300
5676 Riverdale Avenue
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
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:
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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