Consent: Rules about Obtaining Consent to Disclose Treatment Information Brooklyn 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Beth Israel Medical Center
(718) 237-9600
100 Flatbush Avenue
Brooklyn, NY
Hotline
(212) 420-2059
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Anchor House
(718) 771-0760x106
1041 Bergen Street
Brooklyn, NY
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Amethyst House Inc
(718) 448-9588
604 East 40th Street
Brooklyn, NY
Services Provided
Halfway house

Data Provided by:
Saint Vincent Catholic Medical Centers
(718) 622-4488
639 Classon Avenue
Brooklyn, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Creole, French, Spanish

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Interfaith Medical Center
(718) 613-4785
1545 Atlantic Avenue
Brooklyn, NY
Services Provided
Substance abuse
Types of Care
Hospital inpatient
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Kings County Hospital Center
(718) 363-3939
648 Albany Avenue
Brooklyn, NY
Services Provided
Substance abuse , Detoxification, Methadone Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Women, Men

Data Provided by:
Daytop Village Brooklyn Outreach
(718) 265-1388
401 State Street
Brooklyn, NY
Hotline
(800) 232-9867
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women
Language Services
Spanish

Data Provided by:
Saint Vincents Hosp CMC/Prospect Place
(718) 953-2302
1480 Prospect Place
Brooklyn, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men
Language Services
Spanish

Data Provided by:
Health Science Ctr Brooklyn/Kings Cnty
(718) 245-2651
648 Albany Avenue
Brooklyn, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, French

Data Provided by:
ARTC Fort Greene
(718) 398-4771
937 Fulton Street
Brooklyn, 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, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
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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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