Consent: Rules about Obtaining Consent to Disclose Treatment Information Greenwood MS

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Life Help
(662) 455-3222
2801 Highway 82 East
Greenwood, MS
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, 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

Data Provided by:
Weems Community Mental Health Center
(601) 782-9461
Highway 37 South
Raleigh, MS
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Communicare
(662) 412-3251
235 South Murphee Street
Pittsboro, MS
Hotline
(662) 234-7521
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

Data Provided by:
Friends of Alcoholics
(601) 362-4275
1298 F O A Road
Jackson, MS
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Community Counseling Services
(662) 285-6225
100 Old Sturgis Road
Ackerman, MS
Hotline
(626) 323-4357
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders

Data Provided by:
Region I Mental Health Center
(662) 627-7267
1742 Cheryl Street
Clarksdale, MS
Hotline
(662) 902-7296
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Baptist Behavioral Health Services
(601) 968-1102
800 Carlisle Street
Jackson, MS
Hotline
(800) 962-6868
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Special Care Hospital Management Corp
(228) 436-1600
150 Reynoir Street
Biloxi, MS
Services Provided
Detoxification
Types of Care
Hospital inpatient

Data Provided by:
Fairland Center
(662) 624-2152
3000 Highway 49 South
Dublin, MS
Hotline
(662) 902-7296
Services Provided
Substance abuse , Detoxification, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children, Men

Data Provided by:
Weems Community Mental Health Center
(601) 776-6051
100 Park Place
Quitman, MS
Hotline
(800) 803-0245
Services Provided
Substance abuse
Types of Care
Outpatient

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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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