Consent: Rules about Obtaining Consent to Disclose Treatment Information Perkasie PA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Community Service Foundation Inc
(215) 348-8881
253 North Main Street
Sellersville, PA
Services Provided
Substance abuse
Types of Care
Partial hospitalization/day treatment

Data Provided by:
Childrens Aid Society
(215) 362-8422
2506 N Broad Street
Colmar, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Livengrin Counseling Center
(215) 340-1765
350 South Main Street
Doylestown, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Rehab After Work
(215) 348-1720
Route 202 and Mechanicsville Road
Doylestown, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders

Data Provided by:
Community Service Foundation Inc
(215) 348-8881
801 West 2nd Street
Lansdale, PA
Services Provided
Substance abuse
Types of Care
Partial hospitalization/day treatment

Data Provided by:
Penn Foundation Inc
(215) 257-9999
807 Lawn Avenue
Sellersville, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), 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:
Healthy Responses in a
(610) 847-2958
1885 Mountain View Drive
Quakertown, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Pregnant/postpartum women, Women, Men, Criminal justice clients

Data Provided by:
Aldie Counseling Center
(215) 345-8530x110
228 North Main Street
Doylestown, PA
Services Provided
Substance abuse , Methadone Maintenance, Halfway house, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

Data Provided by:
Family Service Assoc of Bucks County
(215) 345-0550
708 North Shady Retreat Road
Doylestown, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Russian, Spanish

Data Provided by:
Northwestern Human Services of
(215) 368-2022
400 North Broad Street
Lansdale, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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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