Consent: Rules about Obtaining Consent to Disclose Treatment Information Huntington NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Huntington Youth Bureau
(631) 271-3591
423 Park Avenue
Huntington, NY
Hotline
(631) 549-8700
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men
Language Services
Spanish

Data Provided by:
Suffolk County Department of Health
(631) 854-4400
689 East Jericho Turnpike
Huntington Station, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Daytop Village Inc
(631) 351-7112
2075 New York Avenue
Huntington Station, NY
Hotline
(800) 232-9867
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women

Data Provided by:
Kenneth Peters Center for Recovery
(516) 364-2220
6800 Jericho Turnpike
Syosset, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Plainview/Old Bethpage Youth Activity
(516) 576-3120
202 Terminal Drive
Plainview, NY
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

Data Provided by:
Pederson-Krag Center Inc
(631) 920-8002
55 Horizon Drive
Huntington, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
Spanish

Data Provided by:
SCO Family Services
(631) 643-6663
151 Burns Lane
Dix Hills, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Tempo Group Syosset
(516) 921-3740
23 Willis Avenue
Syosset, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

Data Provided by:
Department of Veteran Affairs
(631) 261-4400x2791
Psychiatry Service VA Medical Center
Northport, NY
Hotline
(800) 877-6976
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), Outpatient, Partial hospitalization/day treatment

Data Provided by:
Mercy Medical Center
(516) 572-8463
1425 Old Country Road
Plainview, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

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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