Consent: Rules about Obtaining Consent to Disclose Treatment Information Mount Vernon 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Alcohol and Drug/Freedom Center of
(740) 397-2660
106 East Gambier Street
Mount Vernon, OH
Hotline
(740) 392-2828
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired, Spanish

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Trinity Health System Behav Med Center
(740) 283-7024
380 Summit Avenue
Steubenville, OH
Hotline
(740) 283-7024
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Seniors/older adults, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Travco Behavioral Health Services
(740) 284-0163
820 North 4th Street
Steubenville, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Comprehensive Counseling Service
(513) 424-0921
1659 South Breiel Boulevard
Middletown, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Northern Ohio Recovery Association
(216) 391-6672
3746 Prospect Avenue
Cleveland, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Shepherd Hill
(740) 348-4870x4877
200 Messimer Drive
Newark, OH
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment

Data Provided by:
Matt Talbot for Women
(216) 592-2800x11
2351 East 22nd Street
Cleveland, OH
Services Provided
Substance abuse
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, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients

Data Provided by:
Recovery Resource Center Inc
(513) 761-7353
7710 Reading Road
Cincinnati, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients

Data Provided by:
Mansfield Urban Minority Alc and
(419) 525-3525
400 Bowman Street
Mansfield, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Harbor Light
(216) 781-3773x143
1710 Prospect Avenue
Cleveland, OH
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Language Services
Chinese, Korean, Polish, Spanish, Vietnamese

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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