Consent: Rules about Obtaining Consent to Disclose Treatment Information Laurel MS

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

South Central Regional Medical Center
(601) 426-4000x4336
1220 Jefferson Street
Laurel, MS
Hotline
(601) 426-4381
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient

Data Provided by:
Live Oaks Treatment Center
(228) 863-0091
15094 County Barn Road
Gulfport, MS
Hotline
(228) 863-1132
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
North Mississippi Medical Center
(662) 377-3161
4579 South Eason Street
Tupelo, MS
Hotline
(800) 442-2238
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Hinds Behavioral Health Services
(601) 321-2400
3450 Highway 80 West
Jackson, MS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Baptist Behavioral Health Services
(601) 968-1102
800 Carlisle Street
Jackson, MS
Hotline
(800) 962-6868
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Clearview Recovery Center of
(601) 544-1499
3 Clearview Circle
Moselle, MS
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Men

Data Provided by:
Pines and Cady Hills Chemical
(662) 327-7916
1011 Main Street
Columbus, MS
Hotline
(662) 328-0200
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
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:
Weems Community Mental Health Center
(601) 782-9461
Highway 37 South
Raleigh, MS
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Weems Community Mental Health Center
(601) 693-1001
1415 1/2 College Drive
Meridian, MS
Hotline
(601) 483-4821
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
DUI/DWI offenders

Data Provided by:
ALTR of Jackson LLC
(601) 362-3131
500 East Woodrow Wilson Drive
Jackson, MS
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women

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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