Using Consent Forms North Bergen NJ

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.

North Hudson Community Action Corp
(201) 866-9320x214
5301 Broadway
West New York, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Saint Lukes/Roosevelt Hospital Center
(212) 280-0100
324 West 108th Street
New York, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Veritas Inc
(212) 865-9182x205
68 West 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, Seniors/older adults, Women, Men, Criminal justice clients

Data Provided by:
AREBA Casriel Inc
(212) 293-3000
500 West 57th Street
New York, NY
Hotline
(800) 724-4444
Services Provided
Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Language Services
Spanish

Data Provided by:
Arms Acres Inc
(212) 399-6901
500 8th Avenue
New York, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
Palisades Medical Center
(201) 854-0500
7101 Kennedy Boulevard
North Bergen, NJ
Hotline
(201) 854-6300
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
TRI Center Inc
(212) 268-8830
1369 Broadway
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Criminal justice clients
Language Services
Spanish

Data Provided by:
Bridge Inc/OASAS Program
(212) 663-3000x401
248 West 108th Street
New York, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Women
Language Services
Spanish

Data Provided by:
Turning Point Inc
(973) 239-9400
595 County Avenue
Secaucus, NJ
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Criminal justice clients

Data Provided by:
Addiction Institute of NY Saint Lukes
(212) 523-6150
1000 10th Avenue
New York, NY
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired, 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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