Using Consent Forms Horseheads 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.

Economic Opportunity Program Inc
(607) 734-6227x352
650 Baldwin Street
Elmira, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women

Data Provided by:
Saint Josephs Hospital
(607) 737-7802
555 East Market Street
Elmira, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Steuben County Alcoholism and
(607) 937-6201
114 Chestnut Street
Corning, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Tioga County
(607) 565-9594
80 Donnelly Parkway
Waverly, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Urban Resource Institute/Marguerite T
(718) 636-0015
937 Fulton Street
Brooklyn, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Salvation Army Elmira Citadel
(607) 734-0032
401 Division Street
Elmira, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
CC/Rochester
(607) 937-3767
108 Griffith Street
Corning, NY
Services Provided
Halfway house

Data Provided by:
Finger Lakes Addictions Counseling and
(607) 535-8260
Mill Creek Center
Watkins Glen, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

Data Provided by:
Cattaraugus Council on Alcoholism
(716) 373-0057x205
Route 417
Westons Mills, NY
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Silver Lake Support Services Inc
(718) 720-9600
797 Brighton Avenue
Staten Island, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders

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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