Using Consent Forms Manhattan 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.

Carnegie Hill Institute Inc
(212) 289-7166
116 East 92nd Street
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Neighborhood Coalition for Shelter Inc
(212) 861-0704
921-923 Madison Avenue
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Center for Comp Health Practice Inc
(212) 360-7767
1900 2nd Avenue
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women

Data Provided by:
Veritas Therapeutic Community Inc
(212) 666-1411x124
68 106th Street
New York, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Women, Men, Criminal justice clients

Data Provided by:
Create Inc Residential Intensive
(212) 678-4990
121-123 West 111th Street
New York, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Vida Family Services Inc/Outpatient
(212) 289-1004x18
127 East 105th Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Palladia Inc
(212) 360-7116
177 East 122nd Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, Men, Criminal justice clients

Data Provided by:
Harlem East Life Plan (HELP)
(212) 876-2300x107
2369 2nd Avenue
New York, NY
Services Provided
Substance abuse , Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
Creole, French, Russian, Spanish

Data Provided by:
HHC/Metropolitan Hospital Center
(212) 423-7122
1900 2nd Avenue
New York, NY
Services Provided
Detoxification, Methadone Detoxification
Types of Care
Hospital inpatient
Language Services
Arabic, Spanish

Data Provided by:
Inpatient Rehabilitation Unit
(212) 523-8516
1000 10th Avenue
New York, NY
Hotline
(212) 523-6491
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS
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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