Consent: Rules about Obtaining Consent to Disclose Treatment Information Pleasanton CA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

R Quest
(925) 426-0501
40 California Avenue
Pleasanton, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men

Data Provided by:
Managed Health Network
(510) 430-3699
11875 Dublin Boulevard
Dublin, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Solidarity Fellowship Inc
(925) 371-0992
823 Olivina Avenue
Livermore, CA
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
Men

Data Provided by:
Terra Firma Diversion
(510) 675-9362
30086 Mission Boulevard
Hayward, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
Project Eden
(510) 247-8200
22646 2nd Street
Hayward, CA
Hotline
(510) 247-8200
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Senior Support Program Of Tri-Valley
(925) 931-5393
5353 Sunol Boulevard
Pleasanton, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults

Data Provided by:
Axis Community Health
(925) 556-2520
11840 Dublin Boulevard
Dublin, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, Criminal justice clients

Data Provided by:
Successful Alternatives for
(510) 247-8300
795 Fletcher Lane
Hayward, CA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Criminal justice clients
Language Services
Spanish

Data Provided by:
Women On The Way
(510) 276-3661
20424 Haviland Avenue
Hayward, CA
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, Women
Language Services
Spanish

Data Provided by:
Managed Health Network
(510) 430-3699
2847 Whipple Road
Union City, CA
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, 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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