Using Consent Forms Jackson Heights 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.

Child Center of NY Asian Outreach
(718) 899-9810x200
8708 Justice Avenue
Elmhurst, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Bengali, Chinese, Farsi, Gujurati, Hindi, Korean, Tagalog, Urdu

Data Provided by:
City Hospital Center at Elmhurst (CHC)
(718) 334-4660
8130 Baxter Avenue
Elmhurst, NY
Hotline
(718) 334-4000
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Elmcor Youth and Adult Activities Inc
(718) 651-0096
107-20 Northern Boulevard
Corona, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Narco Freedom Inc
(718) 786-3476
3718 34th Street
Long Island City, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Language Services
Russian, Spanish

Data Provided by:
Q.S.A. Incorporated
(718) 729-6868x106
3501 Queens Boulevard
Long Island City, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Creole, Russian, Spanish

Data Provided by:
Elmhurst Hospital Center
(718) 334-3190
7901 Broadway
Flushing, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
Greek, Hebrew, Maltese, Spanish

Data Provided by:
MH Providers of Western Queens Inc
(718) 898-5085
6207 Woodside Avenue
Woodside, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Inwood Community Services Inc
(212) 942-0043x132
651 Academy Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Criminal justice clients
Language Services
Spanish

Data Provided by:
Phoenix House
(212) 831-1555
3425 Vernon Boulevard
Long Island City, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS

Data Provided by:
Advanced Human Services Inc
(718) 261-3437
112-15 72ND ROAD
Forest Hills, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, DUI/DWI offenders
Language Services
Polish, Russian, Spanish, Ukrainian

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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