Consent: Rules about Obtaining Consent to Disclose Treatment Information Aiea HI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

New Horizons Counseling Program
(808) 484-1000
98-211 Pali Momi Street
Aiea, HI
Hotline
(808) 484-1000
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, French, Spanish

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YMCA of Honolulu
(808) 848-2494
99-600 Kulawea Street
Aiea, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian, Samoan

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Alcoholic Rehab Services of Hawaii Inc
(808) 421-4200x283
4361 Salt Lake Boulevard
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Naval Health Clinic
(808) 471-9002x450
480 Central Avenue
Pearl Harbor, HI
Services Provided
Substance abuse
Types of Care
Outpatient

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Department of Veterans Affairs
(808) 433-0660
459 Patterson Road
Honolulu, HI
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
YMCA Outreach Services
(808) 848-2494
98-1276 Ulune Street
Aiea, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
Hina Mauka/Teen Care
(808) 453-6035
2100 Hookiekie Street
Pearl City, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Hina Mauka/Teen Care
(808) 236-2600
3271 Salt Lake Boulevard
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
YMCA Outreach Services
(808) 848-2494
1335 Kalihi Street
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

Data Provided by:
YMCA of Honolulu
(808) 848-2494
1289 Mahiole Street
Honolulu, HI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Micronesian

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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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