Consent: Rules about Obtaining Consent to Disclose Treatment Information Ada OK

Most general rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31.

Rolling Hills Hospital
(580) 436-3600
1000 Rolling Hills Lane
Ada, OK
Hotline
(580) 436-3600
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Mental Health and Substance Abuse
(580) 436-2690
111 East 12th Street
Ada, OK
Hotline
(800) 522-1090
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Substance Abuse Services Inc
(918) 828-9000
7950 East 41st Street
Tulsa, OK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Pathways Professional Counseling Inc
(405) 842-7284
2212 NW 50th Street
Oklahoma City, OK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Valley Hope Association
(918) 493-9475
1422 East 71 Street
Tulsa, OK
Hotline
(800) 544-5101
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Chickasaw Nation Alcohol/Drug Program
(580) 332-6345
3115 East Arlington Street
Ada, OK
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ada Area Chemical Dependency Ctr Inc
(580) 332-3001
704 North Oak Avenue
Ada, OK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Monarch Inc
(918) 682-7210
2310 West Broadway Street
Muskogee, OK
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Purvell Inc
(918) 456-0202
1515 West Chickasaw Street
Sallisaw, OK
Hotline
(918) 456-0202
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Mission Treatment Centers
(405) 239-6815
1214 North Hudson Street
Oklahoma City, OK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Data Provided by:

Consent: Rules about Obtaining Consent to Disclose Treatment Information

Consent: Rules About Obtaining Consent To Disclose Treatment Information

The most frequently used exception to the regulations’ general rule prohibiting disclosure is client consent. (Parental consent must also be obtained in some States. See below.) The regulations’ requirements regarding consent are strict and somewhat unusual and must be carefully followed.

Most disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31:

1. The name or general description of the program(s) making the disclosure

2. The name or title of the individual or organization that will receive the disclosure

3. The name of the client who is the subject of the disclosure

4. The purpose or need for the disclosure

5. How much and what kind of information will be disclosed

6. A statement that the client may revoke (take back) the consent at any time, except to the extent that the program has already acted on it

7. The date, event, or condition upon which the consent will expire if not previously revoked

8. The signature of the client (and, in some States, his or her parent)

9. The date on which the consent is signed (§2.31(a)).

A general medical release form, or any consent form that does not contain all of the elements listed above, is not acceptable. (See the sample consent form in exhibit 3–1.) ...

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