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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Youth and Family Enrichment Servs Inc
(650) 755-0858
333 Gellert Boulevard
Daly City, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Ohlhoff Recovery Programs
(415) 621-4388x14
601 Steiner Street
San Francisco, CA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients

Data Provided by:
Laguna Honda Hospital and
(415) 759-2300
375 Laguna Honda Boulevard
San Francisco, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Criminal justice clients

Data Provided by:
Entre Familia Outpatient
(650) 244-1444
301 Grand Avenue
South San Francisco, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Asian American Recovery Services Inc
(650) 243-4850
1115 Mission Road
South San Francisco, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Burmese, Chinese, Korean, Spanish

Data Provided by:
Asian American Recovery Services Inc
(415) 337-0140
6181 Mission Street
Daly City, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, Criminal justice clients
Language Services
Tagalog

Data Provided by:
Project Ninety Inc
(650) 579-7881
15 Lewis Street
South San Francisco, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Ctr on Juvenile and Criminal Justice
(415) 621-5661
1163 Goettingen Street
San Francisco, CA
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, Arabic

Data Provided by:
Twelve Step Programs
(415) 566-4357
3825 Quintara Street
San Francisco, CA
Services Provided
Halfway house

Data Provided by:
Latino Commission on Alc/DA Services
(415) 468-1914
105 McLain Road
Brisbane, CA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women
Language Services
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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