Using Consent Forms Wilson NC

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.

Verma M Krishna
(252) 291-6200
1810 Westwood Avenue West
Wilson, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
Hindi

Data Provided by:
Nash General
(252) 443-9500
2301 Med Park Drive
Rocky Mount, NC
Hotline
(252) 937-5404x5404
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Rocky Mount Treatment Center
(252) 972-4357
104 Zebulon Court
Rocky Mount, NC
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

Data Provided by:
Mission Hospitals
(828) 213-1111x5253
509 Biltmore Avenue
Asheville, NC
Services Provided
Substance abuse , Buprenorphine Services
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:
Employee Counseling Associates Inc
(336) 627-4532
407 South Van Buren Road
Eden, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Port Human Services
(252) 442-8100
860 Tiffany Boulevard
Rocky Mount, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Urton Associates
(252) 451-0000
3300 Sunset Avenue
Rocky Mount, NC
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
New River Behavioral Healthcare
(336) 667-5151
1430 Willow Lane
North Wilkesboro, NC
Hotline
(336) 667-5151
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, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Jacksonville Treatment Center
(910) 347-2205
301 Johnson Boulevard
Jacksonville, NC
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

Data Provided by:
Surrender House of Lincolnton
(704) 748-9906
322 East McBee Street
Lincolnton, NC
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
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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