Using Consent Forms Piqua OH

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.

Miami County Mental Health Center
(937) 335-7166
3130 North Dixie Highway
Troy, OH
Hotline
(800) 537-3422
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Shelby County Counseling Center Inc
(937) 492-6970x201
500 East Court Street
Sidney, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Cleveland Treatment Center Inc
(216) 861-4246x240
1127 Carnegie Avenue
Cleveland, OH
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired, Korean, Spanish, Vietnamese

Data Provided by:
Children''s Hospital
(614) 355-8009
899 East Broad Street
Columbus, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
South Pointe Hospital
(216) 761-7990
4110 Warrensville Center Road
Warrensville Heights, OH
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Miami County Recovery Council
(937) 335-4543
1059 North Market Street
Troy, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women

Data Provided by:
Talbert House North Star
(513) 755-8133
9018 Cincinnati-Columbus Road
West Chester, OH
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, Residential beds for clients' children

Data Provided by:
L & P Services Inc
(740) 376-0930
207D Colegate Drive
Marietta, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ohio State University Medical Center
(614) 257-3760
1492 East Broad Street
Columbus, OH
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Talbert House
(513) 641-4300
4531 Reading Road
Cincinnati, OH
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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