Using Consent Forms Westbury 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.

North Shore Child/Fam Guidance Center
(516) 997-2926
999 Brush Hollow Road
Westbury, NY
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
Spanish

Data Provided by:
Yours Ours Mine Community Center Inc
(516) 796-6633
152 Center Lane
Levittown, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Central Nassau Guidance and Counseling
(516) 822-4060
950 South Oyster Bay Road
Hicksville, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Gays and Lesbians, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Nassau University Medical Center
(516) 572-6394
2201 Hempstead Turnpike
East Meadow, NY
Services Provided
Substance abuse , Detoxification, Methadone Detoxification
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Nassau Alternatives Advocacy Program
(516) 741-0534
114 Old Country Road
Mineola, NY
Hotline
(516) 741-0534
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Cornerstone Continuous Care
(516) 997-3750x106
1025 Old Country Road
Westbury, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Bridge Back to Life Center Inc
(516) 433-6069
25 Newbridge Road
Hicksville, NY
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Women, Men, DUI/DWI offenders

Data Provided by:
Family and Childrens Association
(516) 935-6858
385 West John Street
Hicksville, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Seafield Services Inc
(516) 747-5644
110 Main Street
Mineola, NY
Hotline
(800) 448-4808
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, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
North Shore LIJ Health System
(516) 742-4015
366 Jericho Turnpike
Mineola, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Seniors/older adults, Women, Men, DUI/DWI offenders
Language Services
Portugese, 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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