Consent: Rules about Obtaining Consent to Disclose Treatment Information La Fayette GA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

LaFayette Outpatient Clinic
(706) 638-5591x149
501 Mize Street
LaFayette, GA
Hotline
(800) 882-1552
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Metro Treatment of Georgia LP
(706) 861-9390
65 White Street
Fort Oglethorpe, GA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Private Clinic North
(706) 861-6458
822 Chickamauga Avenue
Rossville, GA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired, Russian

Data Provided by:
Tanner Medical Center
(770) 836-9551
705 Dixie Street
Carrollton, GA
Hotline
(770) 836-9551
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Pathways Center
(706) 845-4054
124 Gordon Commerical Drive
LaGrange, GA
Hotline
(888) 247-9048
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Lookout Mountain Community Services
(706) 857-5441
83 Highway 48
Summerville, GA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Highland Rivers Community Servs Board
(706) 270-5100x132
900 Shugart Road
Dalton, GA
Hotline
(800) 715-4225
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Road to Recovery Inc
(770) 220-2885
3155 Presidential Drive
Atlanta, GA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Behavioral Health Center at Phoebe
(229) 312-4960
417 3rd Avenue
Albany, GA
Hotline
(800) 435-7912
Services Provided
Detoxification
Types of Care
Hospital inpatient

Data Provided by:
Rockdale House for Men
(770) 483-3984
1060 Scott Street SE
Conyers, GA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

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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