Consent: Rules about Obtaining Consent to Disclose Treatment Information Juneau AK

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Gastineau Human Services
(907) 780-3039
5597 Aisek Street
Juneau, AK
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient

Data Provided by:
Juneau Youth Services
(907) 789-7610
2075 Jordan Avenue
Juneau, AK
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, Gays and Lesbians, Pregnant/postpartum women, Criminal justice clients

Data Provided by:
ASAP Counseling Center
(907) 384-7368
600 Richardson Drive
Fort Richardson, AK
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Ketchikan Indian Community
(907) 228-4917
2960 Tongass Avenue
Ketchikan, AK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Fort Wainwright Community Counseling
(907) 353-6059
Building 4066
Fort Wainwright, AK
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Rainforest Recovery Center
(907) 796-8690
3250 Hospital Drive
Juneau, AK
Hotline
(907) 796-8610
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Cook Inlet Tribal Council Inc
(907) 550-2400
4330 Elmore
Anchorage, AK
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, Seniors/older adults
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Booth Memorial
(907) 279-0522x502
3600 East 20th Avenue
Anchorage, AK
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

Data Provided by:
Oonalaska Wellness Center
(907) 581-2751
13 Aleutian Avenue
Unalaska, AK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Stepping Stones
(907) 569-0097
611 West 47th Street
Anchorage, AK
Hotline
(907) 276-0528
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), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients

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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