Using Consent Forms Goodyear AZ

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.

Western Judicial Services Inc
(623) 936-8828
9550 West Van Buren Street
Tolleson, AZ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Intensive Treatment Systems LLC
(623) 247-1234
7102 West Thomas Road
Phoenix, AZ
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Addiction Resources Inc
(602) 233-9401
4337 West Indian School Road
Phoenix, AZ
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women
Language Services
German, Spanish

Data Provided by:
Maverick House
(623) 931-5810
7022 North 48th Avenue
Glendale, AZ
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
CPLC/Corazon
(602) 233-9747
3639 West Lincoln Avenue
Phoenix, AZ
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Language Services
Spanish

Data Provided by:
Luke Air Force Base
(623) 856-7579
56 MDOS/SGOMH
Luke AFB, AZ
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Chicanos Por La Causa Inc
(623) 247-0464
4602 West Indian School Road
Phoenix, AZ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Treatment Assessment Screening Ctr Inc
(623) 842-4535
6409 West Glendale Avenue
Glendale, AZ
Services Provided
Substance abuse
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
Spanish

Data Provided by:
Community Medical Services Inc
(623) 915-2106
5002 West Glendale Avenue
Glendale, AZ
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Terros Inc
(602) 685-6000
3864 North 27th Avenue
Phoenix, AZ
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Arabic, 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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