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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

School Ten
(714) 772-3620
1136-B North Gilbert Street
Anaheim, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Alternative Options Counseling and
(562) 921-5701
17326 Edwards Road
Cerritos, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

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Comeback Treatment Centers
(714) 236-9556
803 South Gilbert Street
Anaheim, CA
Services Provided
Substance abuse , 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 co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients

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Latino Psychological/Social Serv Corp
(714) 935-7711
710 Brookhurst Street
Anaheim, CA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Men
Language Services
Spanish

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Action Consultants/Therapy
(714) 449-9982
1532 #A Commonwealth
Fullerton, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

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Korean Community Services Inc
(714) 449-1339
1060 Brookhurst Road
Fullerton, CA
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, Japanese, Korean, Spanish, Vietnamese

Data Provided by:
Comeback Treatment Centers
(714) 778-3661
1249 North Brookhurst Street
Anaheim, CA
Hotline
(714) 470-5469
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, Criminal justice clients

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Western Pacific Med Corp
(714) 821-5311
10751 Dale Street
Stanton, CA
Hotline
(714) 821-5311
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:
Aegis Medical Systems Inc
(562) 946-1587
14240 East Imperial Highway
La Mirada, CA
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
Spanish

Data Provided by:
Woodglen Recovery Junction Inc
(714) 879-0929
771 West Orangethorpe Avenue
Fullerton, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

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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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