Consent: Rules about Obtaining Consent to Disclose Treatment Information Mercer Island WA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Thunderbird Treatment Center
(206) 722-7152
9236 Renton Avenue South
Seattle, WA
Services Provided
Substance abuse treatment
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
Spanish

Data Provided by:
Therapeutic Health Services
(206) 723-1980
5802 Rainier Avenue South
Seattle, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Amharic

Data Provided by:
Seattle Indian Health Board
(206) 834-4029
2212 South Jackson Street
Seattle, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men

Data Provided by:
Praxis Inc/Bellevue
(425) 454-9490
1800 112th Avenue NE
Bellevue, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Recovery Centers of King County
(206) 325-5000
1701 18th Avenue South
Seattle, WA
Services Provided
Substance abuse treatment, Detoxification, Halfway house, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Women, Men

Data Provided by:
Consejo Counseling and Referral Servs
(206) 461-4880
3808 South Angeline Street
Seattle, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Youth Eastside Services (YES)
(425) 747-4937
999 164th Avenue NE
Bellevue, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
THS Central Youth and Family Services
(206) 322-7676x200
1901 Martin Luther King Jr Way South
Seattle, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Eastside Addiction Professionals
(425) 462-8558
1450 114th Avenue SE
Bellevue, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Men

Data Provided by:
Renton Clinic A Member of CRC
(425) 687-7082
2838 Sunset Boulevard NE
Renton, WA
Services Provided
Substance abuse treatment, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, 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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