Consent: Rules about Obtaining Consent to Disclose Treatment Information Eunice LA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Ville Platte
(337) 363-6869
414 West Cotton Street
Ville Platte, LA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Caddo and Bossier Center
(318) 222-1767
527 Crockett Street
Shreveport, LA
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
Women, Men

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Fifth District Drug Court Inc
(318) 428-4284x9202
305 East Main Street
Oak Grove, LA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Power House Services Inc
(225) 647-8277
715 West Worthey Road
Gonzales, LA
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, Persons with HIV/AIDS, Criminal justice clients

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Fontainebleau Treatment Center
(985) 624-4100
2365 Highway 190
Mandeville, LA
Hotline
(866) 847-2652
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Men
Language Services
ASL or other assistance for hearing impaired

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Crowley Addictive Disorders Clinic
(337) 788-7515
121 East 5th Street
Crowley, LA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Bastrop Addictive Disorders Clinic
(318) 283-0868
320 South Franklin Street
Bastrop, LA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients

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Nepenthe House
(337) 430-0888
1414 Martha Street
Lake Charles, LA
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

Data Provided by:
Council on Alcoholism/Drug Abuse of
(318) 222-1289
525 Crockett Street
Shreveport, LA
Services Provided
Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
New Orleans East Behavioral Health Ctr


Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Vietnamese

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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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