Consent: Rules about Obtaining Consent to Disclose Treatment Information Arcata CA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

United Indian Health Services
(707) 825-5000
1600 Weeot Way
Arcata, CA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Alcohol and Drug Care Services Inc
(707) 445-3869
1335 C Street
Eureka, CA
Services Provided
Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
North Coast Subst Abuse Council Inc
(707) 445-0869
1205 Myrtle Avenue
Eureka, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient

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Humboldt Recovery Center Inc
(707) 443-4237
905 L Street
Eureka, CA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men, Criminal justice clients

Data Provided by:
First Steps
(530) 822-7263
1251 East Onstott Road
Yuba City, CA
Services Provided
Substance abuse
Types of Care
Outpatient

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Alcohol Drug Care Services Inc
(707) 445-1391
528 5th Street
Eureka, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient

Data Provided by:
Healthy Moms Program
(707) 441-5220
2910 H Street
Eureka, CA
Hotline
(707) 476-4054
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired

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Humboldt Co Dept of Hlth Human
(707) 476-4054
720 Wood Street
Eureka, CA
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, Pregnant/postpartum women

Data Provided by:
Western Pacific Med Corp
(818) 989-1996
14332 Victory Boulevard
Van Nuys, CA
Hotline
(818) 989-1996
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women
Language Services
Arabic, Spanish

Data Provided by:
Southern CA Alcohol and Drug Progs Inc
(562) 272-4004
8022 Somerset Street
Paramount, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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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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