Consent: Rules about Obtaining Consent to Disclose Treatment Information Maple Heights OH

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

New Visions Unlimited Inc
(216) 663-0200
15105 Broadway Avenue
Maple Heights, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients

Data Provided by:
Glenbeigh Center of Beachwood
(216) 464-5800
3789-B South Green Road
Beachwood, OH
Hotline
(440) 951-7000
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
South Pointe Hospital
(216) 761-7990
4110 Warrensville Center Road
Warrensville Heights, OH
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Connections Health Wellness
(216) 831-6466x322
24200 Chagrin Boulevard
Beachwood, OH
Hotline
(216) 756-2235
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Bellefaire Jewish Children''s Bureau
(216) 932-2800x8267
22001 Fairmount Boulevard
Shaker Heights, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women
Language Services
Spanish

Data Provided by:
Options Center Inc
(216) 921-8520
3898 Lee Road
Cleveland, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women

Data Provided by:
Laurelwood Counseling Center of
(216) 595-0500
23240 Chagrin Boulevard
Beachwood, OH
Hotline
(440) 953-3000
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Italian, Spanish

Data Provided by:
Rakesh Ranjan MD and Associates Inc
(216) 464-5200
3690 Orange Place Suite 330
Beachwood, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Community Assessment and Trt Services
(216) 441-0200
8415 Broadway Avenue
Cleveland, OH
Services Provided
Substance abuse , Halfway house
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, Persons with HIV/AIDS

Data Provided by:
Glenbeigh Center of Rocky River
(440) 356-7620
20800 Center Ridge Road
Rocky River, OH
Hotline
(440) 951-7000
Services Provided
Substance abuse
Types of Care
Outpatient

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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