Using Consent Forms Hampton VA

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.

Riverside Behavioral Health Center
(757) 827-1001
2244 Executive Drive
Hampton, VA
Hotline
(757) 827-1001
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Hampton Roads Clinic
(757) 240-5223
2712 Washington Avenue
Newport News, VA
Hotline
(757) 380-9024
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Naval Medical Center Portsmouth
(757) 444-1105x315
1683 Gilbert Street
Norfolk, VA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
T W Neumann and Associates
(757) 393-9611
720 Rodman Avenue
Portsmouth, VA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Dept of Behavioral Healthcare Service
(757) 393-8896
505 Washington Street
Portsmouth, VA
Hotline
(757) 391-8990
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Hampton Veterans Affairs
(757) 722-9961x3607
100 Emancipation Drive
Hampton, VA
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
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Rock Landing Psychological Group
(757) 873-1736
11825 Rock Landing Drive
Newport News, VA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Norfolk Community Services Board
(757) 664-6670
7460 Tidewater Drive
Norfolk, VA
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
WTCSB Smithfield Center
(757) 357-7458
1801 South Church Street
Smithfield, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Mental Health Substance Abuse Division
(757) 385-0850
289 Independence Boulevard
Virginia Beach, VA
Hotline
(757) 437-6150
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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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