Using Consent Forms Union City NJ

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.

Palisades Medical Center
(201) 854-0500
7101 Kennedy Boulevard
North Bergen, NJ
Hotline
(201) 854-6300
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
North Hudson Community Action Corp
(201) 866-9320x214
5301 Broadway
West New York, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Samaritan Village Inc
(212) 333-5445
327 West 43rd Street
New York, NY
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

Data Provided by:
Saint Vincents Hospital Manhattan
(212) 604-8273
203 West 12th Street
New York, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Gays and Lesbians, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Exponents Inc
(212) 243-3434x102
151 West 26th Street
New York, NY
Hotline
(800) 673-7370
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men, Criminal justice clients

Data Provided by:
Saint Marys Hospital
(201) 792-8290
527 Clinton Street
Hoboken, NJ
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Inpatient Rehabilitation Unit
(212) 523-8516
1000 10th Avenue
New York, NY
Hotline
(212) 523-6491
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS
Language Services
Spanish

Data Provided by:
Saint Lukes/Roosevelt Hospital Center
(212) 523-1897
1000 10th Avenue
New York, NY
Hotline
(212) 523-6491
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
AREBA Casriel Inc
(212) 293-3000
500 West 57th Street
New York, NY
Hotline
(800) 724-4444
Services Provided
Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Language Services
Spanish

Data Provided by:
Beth Israel Medical Center
(212) 247-7180
721 9th Avenue
New York, NY
Hotline
(212) 420-2059
Services Provided
Substance abuse , Detoxification, Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, 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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