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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Marin Treatment Center
(415) 457-3755
1466 Lincoln Avenue
San Rafael, CA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Russian, Spanish

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Progress House Inc
(530) 626-7252
838 Beach Court Road
Coloma, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
El Centro del Pueblo
(213) 481-2497x12
1141 West 6th Street
Los Angeles, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
National Council on Alc and Drug Dep
(562) 432-6807
836 Atlantic Avenue
Long Beach, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children
Language Services
Spanish

Data Provided by:
Westcare California Inc
(559) 265-4800
2772 South Martin Luther King Blvd
Fresno, CA
Hotline
(559) 265-4800
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
Spanish

Data Provided by:
Pride Health Services Inc
(310) 677-9019
8619 Crenshaw Boulevard
Inglewood, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women

Data Provided by:
New Way Foundation
(818) 845-2702
844 North Hollywood Way
Burbank, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Men, Criminal justice clients
Language Services
Russian, Spanish

Data Provided by:
Epiphany Center Outpatient Treatment
(415) 351-4052x4213
100 Masonic Avenue
San Francisco, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women

Data Provided by:
Riverside County Substance Abuse Prog
(951) 737-2962
623 North Main Street
Corona, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
BAART Behavioral Health Services Inc
(213) 607-2010
1926 West Beverly Boulevard
Los Angeles, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
Albanian, Japanese, Russian, Spanish

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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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