Consent: Rules about Obtaining Consent to Disclose Treatment Information Palatka FL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Putnam Behavioral Healthcare
(386) 329-3780x8632
320 Kay Larkin Drive
Palatka, FL
Hotline
(386) 329-3780x8662
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Tri County Human Services
(863) 452-3858x221
100 West College Drive
Avon Park, FL
Hotline
(863) 533-4139
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Lifeline of Miami Inc
(305) 270-0400
822 NE 125
North Miami, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
First Step of Sarasota Inc
(941) 366-5333x1113
4613 North Washington Boulevard
Sarasota, FL
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, Women, Criminal justice clients

Data Provided by:
Center for Family Services of
(561) 330-2266
440 North Federal Highway
Boca Raton, FL
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Stewart Marchman Center Inc
(386) 329-3725
310 South Palm Avenue
Palatka, FL
Hotline
(888) 516-2296
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Orchid LLC
(561) 433-2336
2925 10th Avenue North
Palm Springs, FL
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Destination Hope Inc
(954) 771-2091
6555 NW 9th Avenue
Fort Lauderdale, FL
Hotline
(866) 756-4673
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Arabic, Chinese, Creole, French, Hebrew, Lakota, Portuguese, Spanish

Data Provided by:
Village at Concept House
(305) 571-2601
162 NE 49th Street
Miami, FL
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Central Florida Treatment Center
(561) 439-8440
3155 Lake Worth Road
Lake Worth, FL
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
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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