Using Consent Forms Pearl River 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.

Martin Luther King
(845) 356-0081
110 Betherne Boulevard
Spring Valley, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
Creole, Spanish

Data Provided by:
Russell E Blaisdell
(845) 359-8500
Rockland Psychiatric Center Campus
Orangeburg, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Touchstone Hall
(201) 784-6490
35 D Piermont Road
Rockleigh, NJ
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
Adolescents, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Recovery Center at Nyack Hospital
(845) 348-2070
160 North Midland Avenue
Nyack, NY
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Creole, French, Spanish

Data Provided by:
Bryan Granelli PhD
(201) 445-4310
112 Prospect Street
Ridgewood, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Daytop Village Inc
(845) 353-2730
620 Route 303
Blauvelt, NY
Hotline
(800) 232-9867
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women

Data Provided by:
Gerald Opthof
(201) 263-0202
192 3rd Avenue
Westwood, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Men, DUI/DWI offenders, Criminal justice clients
Language Services
German, Spanish

Data Provided by:
Nyack Hospital Recovery Ctr For Change
(845) 348-6760
160 North Midland Avenue
Nyack, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Creole, Spanish

Data Provided by:
Good Samaritan Hospital of Suffern
(845) 368-5242
255 Lafayette Avenue
Suffern, NY
Services Provided
Detoxification, Methadone Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men

Data Provided by:
Christina Burkart
(973) 454-3752
1 Lethbridge Plaza
Mahwah, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

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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