Consent: Rules about Obtaining Consent to Disclose Treatment Information Clearwater FL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Narconon Florida Inc
(727) 796-1011
22079 U.S. Highway 19 North
Clearwater, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Rational Steps
(727) 347-3284
1591 Main Street
Dunedin, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Fairwinds Treatment Center
(727) 449-0300
1569 South Fort Harrison Avenue
Clearwater, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men

Data Provided by:
Operation Par Inc
(727) 538-7245
13800 66th Street North
Largo, FL
Hotline
(888) 727-6398
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Integrity Counseling Inc
(727) 531-7988
1501 Belcher Road South
Largo, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Alternative Trt International Inc
(800) 897-8060
300 South Duncan Avenue
Clearwater, FL
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)

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Behavioral Sciences Center
(727) 725-0700
727 2nd Street South
Safety Harbor, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Healthcare Alternatives of West FL Inc
(727) 373-2453
270 Clearwater-Largo Road North
Largo, FL
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Operation Par Inc
(727) 507-4673
6150 150th Avenue North
Clearwater, FL
Hotline
(888) 727-6398
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

Data Provided by:
Solutions/Behavioral Healthcare
(727) 586-6942
13191 Starkey Road
Largo, FL
Hotline
(866) 764-6408
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Gays and Lesbians, DUI/DWI offenders
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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