Using Consent Forms Vestal 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.

United Health Services Hospitals Inc
(607) 762-2255
10-42 Mitchell Avenue
Binghamton, NY
Hotline
(607) 762-2257
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Addictions Center of Broome County Inc
(607) 723-7308x124
30 West State Street
Binghamton, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
Bethesda PA Treatment & Healing
(570) 278-1523
6 Ellsworth Drive
South Montrose, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

Data Provided by:
Metropolitan Corporation for
(212) 571-1180
90 Maiden Lane
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, French, Russian, Spanish

Data Provided by:
Amethyst House Inc
(718) 448-9588
604 East 40th Street
Brooklyn, NY
Services Provided
Halfway house

Data Provided by:
Outpatient New Horizons
(607) 762-2800
10 Mitchell Avenue
Binghamton, NY
Hotline
(607) 762-2257
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Fairview Recovery Services Inc
(607) 722-8987
5 Merrick Street
Binghamton, NY
Services Provided
Halfway house

Data Provided by:
Finger Lakes Addictions Counseling and
(607) 535-8260
Mill Creek Center
Watkins Glen, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

Data Provided by:
Catholic Family Center
(585) 546-3046x327
55 Troup Street
Rochester, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Arabic, Spanish

Data Provided by:
Canton/Potsdam Hospital
(315) 261-5954
50 Leroy Street
Potsdam, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient

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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