Using Consent Forms Floral Park 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.

Long Island Jewish Medical Center
(718) 470-8940
Littauer Building/First Floor
Glen Oaks, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Creedmoor Addiction Treatment Center
(718) 264-3740
8045 Winchester Boulevard
Queens Village, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
North Shore Long Isl Jewish Health Sys
(516) 437-0440
40 Elmont Road
Elmont, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Nassau Alternatives Advocacy Program
(516) 741-0534
114 Old Country Road
Mineola, NY
Hotline
(516) 741-0534
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Seafield Services Inc
(516) 747-5644
110 Main Street
Mineola, NY
Hotline
(800) 448-4808
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Mercy Hospital Association
(516) 705-3407
385 Oak Street
Garden City, NY
Hotline
(516) 705-2248
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Counseling Services
(516) 328-1717
1200-A Hempstead Turnpike
Franklin Square, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
North Shore LIJ Health System
(516) 742-4015
366 Jericho Turnpike
Mineola, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Seniors/older adults, Women, Men, DUI/DWI offenders
Language Services
Portugese, Spanish

Data Provided by:
Copay Inc Chemical Dependency Outpt
(516) 466-2509
21 North Station Plaza
Great Neck, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
Portugese, Spanish

Data Provided by:
Friends of Bridge Inc
(516) 825-4242
5-11 Pflug Place
Valley Stream, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

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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