Using Consent Forms Vinton VA

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.

Avenues to Recovery Inc
(540) 344-3400
20 Walnut Avenue SW
Roanoke, VA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Lewis Gale Center
(540) 772-2801x2848
1902 Braeburn Drive
Salem, VA
Hotline
(800) 541-9992
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Naval Medical Center Portsmouth
(757) 444-1105x315
1683 Gilbert Street
Norfolk, VA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Chesterfield Department of
(804) 768-7220
6801 Lucy Corr Boulevard
Chesterfield, VA
Hotline
(804) 748-6356
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:
Graydon Manor
(703) 777-3485
801 Childrens Center Road
Leesburg, VA
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

Data Provided by:
Bethany Hall Recovery Home for
(540) 343-4261
1109 Franklin Road SW
Roanoke, VA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Residential beds for clients' children

Data Provided by:
Mount Regis Center
(800) 477-3447
405 Kimball Avenue
Salem, VA
Hotline
(800) 477-3447
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment

Data Provided by:
New River Valley Community Services
(540) 994-5023
1042 East Main Street
Pulaski, VA
Hotline
(540) 961-8400
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

Data Provided by:
Rock Landing Psychological Group
(757) 873-1736
11825 Rock Landing Drive
Newport News, VA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Harrison House of Virginia
(703) 256-6474
5105 Q Backlick Road
Annandale, VA
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women, Men

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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