Consent: Rules about Obtaining Consent to Disclose Treatment Information Quincy MA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Bay Cove Human Services
(617) 479-9320
Long Island Health Campus
Quincy, MA
Services Provided
Detoxification, Methadone Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS
Language Services
ASL or other assistance for hearing impaired, French, Spanish

Data Provided by:
Bay State Community Services Inc
(617) 471-8400x121
13 Temple Street
Quincy, MA
Hotline
(800) 675-8108
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired, Chinese, French, Spanish, Vietnamese

Data Provided by:
South Shore Mental Health
(617) 847-1923
859 Willard Street
Quincy, MA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Roxbury Comp Comm Health Center Inc
(617) 442-7400x430
435 Warren Street
Roxbury, MA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Language Services
Creole, Portugese, Spanish

Data Provided by:
Casa Esperanza Inc
(617) 445-7411
291 Eustis Street
Roxbury, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Men
Language Services
Spanish

Data Provided by:
Bay Cove Human Services
(617) 471-9600x2427
Long Island Health Campus
North Quincy, MA
Services Provided
Detoxification
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
South Shore Recovery Home
(617) 773-7023
10 Dysart Street
Quincy, MA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
HRDI
(617) 427-1588
167 Centre Street
Roxbury, MA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with HIV/AIDS, Men, Criminal justice clients

Data Provided by:
Dimock Community Health Center
(617) 442-8800x1392
41 Dimock Street
Roxbury, MA
Services Provided
Substance abuse , Detoxification, Methadone Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men
Language Services
ASL or other assistance for hearing impaired, Creole, French, Spanish

Data Provided by:
The Dimock Center
(617) 442-8800x1333
50 Dimock Street
Roxbury, MA
Hotline
(617) 442-8800x1315
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men
Language Services
ASL or other assistance for hearing impaired, Creole, French, 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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