Consent: Rules about Obtaining Consent to Disclose Treatment Information Chalfont PA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Childrens Aid Society
(215) 362-8422
2506 N Broad Street
Colmar, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, DUI/DWI offenders
Language Services
Spanish

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Aldie Counseling Center
(215) 345-8530x110
228 North Main Street
Doylestown, PA
Services Provided
Substance abuse , Methadone Maintenance, Halfway house, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

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Rehab After Work
(215) 348-1720
Route 202 and Mechanicsville Road
Doylestown, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders

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Northwestern Human Services of
(215) 368-2022
400 North Broad Street
Lansdale, PA
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
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
UHS Keystone Center
(215) 542-4825
722 East Butler Pike
Ambler, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Project Transition
(215) 491-0166
1700 Street Road
Warrington, PA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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Community Service Foundation Inc
(215) 348-8881
801 West 2nd Street
Lansdale, PA
Services Provided
Substance abuse
Types of Care
Partial hospitalization/day treatment

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Family Service Assoc of Bucks County
(215) 345-0550
708 North Shady Retreat Road
Doylestown, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Russian, Spanish

Data Provided by:
Livengrin Counseling Center
(215) 340-1765
350 South Main Street
Doylestown, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Horsham Clinic
(215) 643-7800
722 East Butler Pike
Ambler, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

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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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