Using Consent Forms Green Cove Springs FL

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.

North and South Florida Rehab
(904) 301-1145
549 Palmelto Avenue
Green Cove Springs, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Criminal justice clients
Language Services
Spanish

Data Provided by:
Substance Abuse Rehabilitation Program
(904) 542-3473x122
Naval Air Station Jacksonville
Jacksonville, FL
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient

Data Provided by:
Diversified Program Services Inc
(352) 332-9960
7003 NW 11th Place
Gainesville, FL
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Village at Concept House
(305) 571-2601
162 NE 49th Street
Miami, FL
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Chemical Addictions Recovery Effort
(850) 526-3133
4150 Hollis Drive
Marianna, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Clay and Baker Kids Net Inc
(904) 278-5644x2005
3292 CR 220
Middleburg, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Breakthroughs Counseling and
(904) 419-6102
3810 Williamsburg Park Boulevard
Jacksonville, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Central Florida Treatment Center
(561) 439-8440
3155 Lake Worth Road
Lake Worth, FL
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
Spanish

Data Provided by:
Goodwill Outpatient Services
(813) 877-3234
6800 North Dale Mabry Hwy
Tampa, FL
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Portugese, Spanish

Data Provided by:
Central Florida Treatment Center
(407) 843-0041
1800 West Colonial Drive
Orlando, FL
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
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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