Consent: Rules about Obtaining Consent to Disclose Treatment Information Hummelstown PA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Conewago Place Inpatient
(717) 533-0428x2500
424 Nye Road
Hummelstown, PA
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
Criminal justice clients

Data Provided by:
Timothy F Bennett
(717) 533-7404
825 Fishburn Road
Hershey, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Genesis House Harrisburg
(717) 232-6981
2901 North Sixth Street
Harrisburg, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, Criminal justice clients
Language Services
Spanish

Data Provided by:
Gaudenzia Inc
(717) 233-3424
2039 North 2nd Street
Harrisburg, PA
Hotline
(888) 237-8984
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Evergreen House of Catholic Charities
(717) 238-6343
100 Evergreen Street
Harrisburg, PA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women

Data Provided by:
Guidance Associates of Pennsylvania
(717) 533-4312
20 Briar Crest Square
Hershey, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Weaver Counseling
(717) 652-8481
4607 Locust Lane
Harrisburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Daystar Center For Spiritual Recovery
(717) 230-9898
125 North 18 Street
Harrisburg, PA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
White Deer Run of Harrisburg
(717) 221-8712
2001 North Front Street
Harrisburg, PA
Hotline
(570) 380-2801
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women

Data Provided by:
Mazzitti and Sullivan Inc
(717) 362-3321
3207 North Front Street
Harrisburg, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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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