Using Consent Forms Pass Christian MS

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.

Live Oaks Treatment Center
(228) 863-0091
15094 County Barn Road
Gulfport, MS
Hotline
(228) 863-1132
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
Pine Belt Mental Healthcare Resources
(601) 394-5047
1501 Lacney Street
Leakesville, MS
Hotline
(601) 544-4641
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Weems Community Mental Health Center
(601) 782-9461
Highway 37 South
Raleigh, MS
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Singing River Services
(228) 497-0690
3407 Shamrock Court
Gautier, MS
Hotline
(228) 497-0690
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Harbor Houses of Jackson Inc
(601) 371-7335
5354 I-55 South Frontage Road East
Jackson, MS
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Pine Grove Recovery Center
(800) 321-8750
2255 Broadway Drive
Hattiesburg, MS
Hotline
(800) 321-8750x4812
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Common Bond Association Inc
(601) 371-6851
836 Medical Plaza
Jackson, MS
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Men, Criminal justice clients

Data Provided by:
Warren/Yazoo Chemical Dependency Ctr
(601) 634-0181
3442 Wisconsin Avenue
Vicksburg, MS
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Special Care Hospital Management Corp
(228) 436-1600
150 Reynoir Street
Biloxi, MS
Services Provided
Detoxification
Types of Care
Hospital inpatient

Data Provided by:
Recovery House Inc
(662) 329-4333
770 Golding Road
Columbus, MS
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

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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