Using Consent Forms Shippensburg 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.

Roxbury Treatment Center
(717) 532-4217
601 Roxbury Road
Shippensburg, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Manito Inc
(717) 261-9833
426 Pheonix Drive
Chambersburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Gaudenzia Inc West Shore
(800) 725-5453
60 West Penn Street
Carlisle, PA
Services Provided
Substance abuse
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, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Roxbury
(717) 249-5010
401 East Louther Street
Carlisle, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Jeanetter Egan
(610) 965-3635
860 Broad Street
Emmaus, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
NTP Consultants
(717) 261-9100
75 South Main Street
Chambersburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Roxbury Treatment Center
(717) 532-4217
25 Penncraft Avenue
Chambersburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
NHS The Stevens Center
(717) 243-6033
33 State Avenue
Carlisle, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Teen Challenge
(215) 843-2887
329 East Wister Street
Philadelphia, PA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

Data Provided by:
Council on Alcohol and Drug Abuse
(610) 437-0801
1031 West Linden Street
Allentown, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, 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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