Using Consent Forms Mount Airy NC

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.

Hope Valley Inc
(336) 368-2427
152 Hope Valley Road
Pilot Mountain, NC
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Women

Data Provided by:
Mecklenburg County Area MH Authority
(704) 336-3067
429 Billingsley Road
Charlotte, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with HIV/AIDS, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Path of Hope Inc
(336) 248-8914
1675 East Center Street
Lexington, NC
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Coastal Horizons Center Inc
(910) 259-0668
803 South Walker Street
Burgaw, NC
Hotline
(800) 672-2903
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
Roxie Avenue Center
(910) 484-1212
1724 Roxie Avenue
Fayetteville, NC
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Hope Valley Inc
(336) 386-8511
105 County Home Road
Dobson, NC
Hotline
(336) 386-8003
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
Asi Trinity Counseling Services
(919) 496-6382
107 Industrial Drive
Louisburg, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients

Data Provided by:
Raleigh Methadone Treatment Center
(919) 781-5507
5109 Oak Park Road
Raleigh, NC
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

Data Provided by:
Sims Consulting and Clinical Service
(704) 630-6634
1720 Hampshire Drive
Salisbury, NC
Hotline
(800) 658-5520x0
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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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