Consent: Rules about Obtaining Consent to Disclose Treatment Information Elizabeth NJ

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Herbert Goodfriend LCSW LCADC
(908) 351-6080
230 West Jersey Street
Elizabeth, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Intervention Specialist LLC
(908) 289-0700
453 Morris Avenue
Elizabeth, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Creole, Portugese, Spanish

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Trinitas Hospital
(908) 994-7090
654 East Jersey Street
Elizabeth, NJ
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
Spanish

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Dorothy Rose Psychotherapy Services
(201) 779-9366
---
Bayonne, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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New Hope Behavioral Health Center
(973) 373-5100
277-285 Coit Street
Irvington, NJ
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
Spanish

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Proceed Inc
(908) 351-7727
1126 Dickinson Street
Elizabeth, NJ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
Portugese, Spanish

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Bridgeway Inc
(908) 355-7200
567 Morris Avenue
Elizabeth, NJ
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

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Daytop Village Inc
(718) 981-3136
1915 Forest Avenue
Staten Island, NY
Hotline
(800) 232-9867
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

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Gannon Counseling
(908) 964-4233
463 Chestnut Street
Union, NJ
Hotline
(908) 964-4233
Services Provided
Substance abuse
Types of Care
Outpatient

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Bridge Inc
(973) 372-2624x18
1065 Clinton Avenue
Irvington, NJ
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders

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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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