Using Consent Forms Mount Olive 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.

Department of Corrections
(919) 731-7930
1302 West Ash Street
Goldsboro, NC
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Criminal justice clients

Data Provided by:
Family Works
(919) 778-8551
505 North Spence Avenue
Goldsboro, NC
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Chemical Dependency Training
(910) 296-9696
112 Court House Plaza
Kenansville, NC
Hotline
(800) 852-0795
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Carteret Counseling Services Inc
(252) 247-1109
105 North 10th Street
Morehead City, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Life Changes Counseling
(336) 228-7600
204 East Elm Street
Graham, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Blue Horizons
(919) 734-1579
401 North Randolph Street
Goldsboro, NC
Hotline
(919) 734-1519
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Hope In The Carolina LLC
(910) 296-6244
149 Limestone Road
Kenansville, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Language Services
ASL or other assistance for hearing impaired, Navajo, Spanish, Yupik

Data Provided by:
Pope Air Force Base
(910) 394-4700
43 MDOS/SGOHA
Pope AFB, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Flynn Fellowship Home of
(704) 865-9395
311 South Marietta Street
Gastonia, NC
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Therapeutic Alternatives Inc
(800) 277-3216
4270 Heath Dairy Road
Randleman, NC
Services Provided
Substance abuse
Types of Care
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:
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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