Using Consent Forms Whitestone 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.

Inwood Community Services Inc
(212) 942-0043x132
651 Academy Street
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Criminal justice clients
Language Services
Spanish

Data Provided by:
Elmcor Youth and Adult Activities Inc
(718) 651-0096
107-20 Northern Boulevard
Corona, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Daytop Village Inc
(718) 822-1217
16 Westchester Square
Bronx, NY
Hotline
(800) 232-9867
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women, Criminal justice clients
Language Services
Spanish

Data Provided by:
Jacobi Medical Center
(718) 918-6162
1400 Pelham Parkway South
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Related Services Inc
(718) 997-1901
9907 Queens Boulevard
Forest Hills, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men, DUI/DWI offenders
Language Services
Farsi, Russian

Data Provided by:
Flushing Hospital and Medical Center
(718) 670-5078
Parsons Boulevard and 45th Avenue
Flushing, 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, DUI/DWI offenders
Language Services
Russian, Spanish

Data Provided by:
Albert Einstein College of Medicine
(718) 597-3888
1967 Turnbull Avenue
Bronx, NY
Services Provided
Substance abuse , Buprenorphine Services
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, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Copay Inc Chemical Dependency Outpt
(516) 466-2509
21 North Station Plaza
Great Neck, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
Portugese, Spanish

Data Provided by:
South Bronx Mental Health Council Inc
(718) 378-6500x238
1241 Lafayette Avenue
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Spanish

Data Provided by:
Taylormayd Inc
(718) 829-3617
51 Westchester Square
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, 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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