Using Consent Forms Fredonia 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.

Chautauqua County Department of
(716) 363-3550
319 Central Avenue
Dunkirk, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men

Data Provided by:
Cattaraugus Indian Reservation Health
(716) 532-5583
36 Thomas Indian School Drive
Irving, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men

Data Provided by:
Beth Israel Medical Center
(212) 420-2079
26 Avenue A
New York, NY
Hotline
(212) 420-2078
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, Creole, French, Spanish

Data Provided by:
Center for Comp Health Practice Inc
(212) 360-7767
1900 2nd Avenue
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women

Data Provided by:
Samaritan Village Inc
(718) 441-8913
130-20 89th Road
Richmond Hill, NY
Services Provided
Substance abuse , Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)

Data Provided by:
TLC Health Tri County
(716) 595-3355x1206
33 North Main Street
Cassadaga, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women

Data Provided by:
Interfaith Medical Center
(718) 613-4785
1545 Atlantic Avenue
Brooklyn, NY
Services Provided
Substance abuse
Types of Care
Hospital inpatient
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Council on Alcoholism/Drug Abuse of
(845) 794-8080x161
The SMART Community
Monticello, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS

Data Provided by:
New York Association for New Americans
(212) 898-7830
2 Washington Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Delaware Valley Hospital
(607) 865-2115
1 Titus Place
Walton, NY
Services Provided
Substance abuse
Types of Care
Hospital inpatient

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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