Consent: Rules about Obtaining Consent to Disclose Treatment Information La Mirada CA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Aegis Medical Systems Inc
(562) 946-1587
14240 East Imperial Highway
La Mirada, CA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women
Language Services
Spanish

Data Provided by:
CRC Inc
(562) 777-1222
14100 1/2 Glengyle Avenue
Whittier, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Korean Community Services Inc
(714) 449-1339
1060 Brookhurst Road
Fullerton, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Japanese, Korean, Spanish, Vietnamese

Data Provided by:
ADAPT Aware Zone Inc
(562) 698-0474
14128 Whittier Boulevard
Whittier, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Southern CA Alcohol and Drug Progs Inc
(562) 864-7724
11401 Bloomfield Avenue
Norwalk, CA
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)

Data Provided by:
Southern CA Alcohol and Drug Progs Inc
(562) 923-3835
12322 Clearglen Street
Whittier, CA
Hotline
(562) 947-3835
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Chinese, Japanese

Data Provided by:
Alternative Options Counseling and
(562) 921-5701
17326 Edwards Road
Cerritos, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Safety Consultant Services
(562) 945-2493
13501 East Whittier Boulevard
Whittier, CA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Pacific Clinics Subst Abuse MH Servs
(562) 949-8455
11721 Telegraph Road
Santa Fe Springs, CA
Hotline
(877) 722-2737
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Western Pacific Norwalk Medical Clinic
(562) 929-7188
11902 East Rosecrans Boulevard
Norwalk, CA
Hotline
(562) 929-7188
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women
Language Services
Arabic, Spanish

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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