Consent: Rules about Obtaining Consent to Disclose Treatment Information Christiansburg VA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

New River Valley Community Services
(540) 831-4000
7193 Warden Court
Radford, VA
Hotline
(540) 961-8400
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Serenity Home Inc/Substance Abuse ICF
(540) 371-3059
514 Wolfe Street
Fredericksburg, VA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Alexandria Community Services Board
(703) 838-4525
2355-A Mill Road
Alexandria, VA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Arabic, Chinese, French, German, Korean, Portugese, Russian, Spanish, Vietnamese

Data Provided by:
Goochland/Powhatan Community Services
(804) 556-5400
3058 River Road West
Goochland, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
A Womans Place
(540) 891-3136
2016 Lafeyette Boulevard
Fredericksburg, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Rubicon Inc
(804) 359-3255x3029
2825 Rady Street
Richmond, VA
Services Provided
Substance abuse , Buprenorphine Services
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, Gays and Lesbians, Women, Residential beds for clients' children

Data Provided by:
Harrisonburg/Rockingham
(540) 434-1941
1241 North Main Street
Harrisonburg, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Inova Loudoun Hospital
(703) 771-2894
224 Cornwall Street NW
Leesburg, VA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Seniors/older adults

Data Provided by:
Boys and Girls Recovery Lodges
(703) 841-0703x211
521 North Quincy Street
Arlington, VA
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
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Western Tidewater Mental Health Center
(757) 925-2222
135 South Saratoga Street
Suffolk, VA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, 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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