Consent: Rules about Obtaining Consent to Disclose Treatment Information Babylon NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Nepenthe Inc
(631) 243-3062
435 Brook Avenue
Deer Park, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

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Seafield Services Inc
(631) 424-2900x102
37 John Street
Amityville, NY
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Town of Babylon Div of Drug and Al Svs
(631) 789-3700
400 Broadway
Amityville, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, Criminal justice clients

Data Provided by:
Pederson-Krag Center Inc
(631) 920-8250
240-A Long Island Avenue
Wyandanch, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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Charles K Post Addiction Treatment Ctr
(631) 434-7209
998 Crooked Hill Road
Brentwood, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Spanish

Data Provided by:
CG and D Alc/Addiction Services Inc
(631) 691-0769
45 Dixon Avenue
Amityville, NY
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, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Hope for Youth Family Service Center
(631) 842-7900
201 Dixon Avenue
Amityville, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Long Island Home
(631) 608-5610
400 Sunrise Highway
Amityville, NY
Services Provided
Substance abuse , Methadone Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient

Data Provided by:
Town of Islip Dept of Human Services
(631) 436-6065
452 Suffolk Avenue
Brentwood, NY
Hotline
(631) 277-4700
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Phoenix House
(631) 306-5760
998 Crooked Hill Road
Brentwood, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Spanish

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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