Using Consent Forms Philadelphia PA

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.

Riverside Care Inc
(215) 226-1666
1007 West Lehigh Avenue
Philadelphia, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, DUI/DWI offenders, Criminal justice clients
Language Services
Khmer, Spanish

Data Provided by:
Girard Medical Center
(215) 787-2000x2079
8th and Girard Avenue
Philadelphia, PA
Hotline
(215) 787-2000
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
North Philadelphia Health System DDFI
(215) 787-2193
8 Street And Girard Avenue
Philadelphia, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Criminal justice clients
Language Services
Spanish

Data Provided by:
Congreso de Latinos
(215) 763-8870x1001
216 West Somerset Street
Philadelphia, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
New Journeys in Recovery
(215) 634-6400
2927 North 5th Street
Philadelphia, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
North Philadelphia Health Systems
(215) 787-2131
8TH Street And Girard Ave 11 Floor
Philadelphia, PA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Asociacion De Puertorriquenos En March
(267) 296-7200
2143 N 6th Street
Philadelphia, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Achievement Through Counseling and Trt
(215) 236-0100
1745 North 4th Street
Philadelphia, PA
Services Provided
Substance abuse , Methadone Maintenance
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, Spanish

Data Provided by:
Kensington Hospital
(215) 426-8100x6019
136 West Diamond Street
Philadelphia, PA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Women
Language Services
Spanish

Data Provided by:
Casa De ConseJeria Drug And Alcohol Co
(215) 634-3259
213 West Allegheny Avenue
Philadelphia, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
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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