Using Consent Forms Forrest City AR

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.

Springdale Treatment Center
(479) 306-4480
1400 Meeshow Drive
Springdale, AR
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ozark Counseling Services Inc
(870) 448-3724
200 East Main Street
Marshall, AR
Hotline
(800) 946-1111
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Counseling Associates Inc
(479) 968-1298
110 Skyline Drive
Russellville, AR
Hotline
(800) 844-2066
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish, Vietnamese

Data Provided by:
Human Development and Research Servs
(870) 535-3535
2106 East 6th Street
Pine Bluff, AR
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Harbor House Inc
(479) 785-4083x11
615 North 19th Street
Fort Smith, AR
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with HIV/AIDS
Language Services
ASL or other assistance for hearing impaired, Cherokee, Spanish, Vietnamese

Data Provided by:
Quapaw House Inc
(501) 767-4456
812 Mountain Pine Road
Hot Springs National Park, AR
Services Provided
Substance abuse , Detoxification, Halfway house, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Wilbur Mills Center
(501) 268-7777x1352
3204 East Moore Avenue
Searcy, AR
Hotline
(800) 592-9503
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Capstone Treatment Center
(501) 729-4479
120 Meghan Lane
Judsonia, AR
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Central Arkansas Veterans Healthcare
(501) 257-3501
North Little Rock Division
North Little Rock, AR
Services Provided
Substance abuse , Detoxification, Halfway house, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Seniors/older adults, Women, Men

Data Provided by:
Gateway House Inc
(479) 783-8849x0
3900 North Armour Avenue
Fort Smith, AR
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Residential beds for clients' children, DUI/DWI offenders
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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