Consent: Rules about Obtaining Consent to Disclose Treatment Information Ridgefield CT

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Ruthe Feilbert Willis
(203) 431-6558
25 Chestnut Hill Road
Ridgefield, CT
Hotline
(203) 431-6558
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients

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Connecticut Counseling Centers Inc
(203) 743-7574
60 Beaverbrook Road
Danbury, CT
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men
Language Services
Portugese, Russian, Spanish

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MCCA McDonough House
(203) 792-4515
38 Old Ridgebury Road
Danbury, CT
Services Provided
Substance abuse , Detoxification, Methadone Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Seniors/older adults
Language Services
Spanish

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Connecticut Renaissance Inc
(203) 866-2541
4 Byington Place
Norwalk, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

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Lexington Center for Recovery Inc
(914) 666-6740
24 Smith Avenue
Mount Kisco, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
Spanish

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MCCA
(203) 438-8680
90 East Ridge Road
Ridgefield, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients

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Midwestern CT Council on Alcoholism
(203) 792-4515
38 Old Ridgebury Road
Danbury, CT
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Polish, Portugese, Spanish

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Silver Hill Hospital Inc
(203) 966-3561
208 Valley Road
New Canaan, CT
Services Provided
Substance abuse , Detoxification, Methadone Detoxification, Halfway house, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired, French, Polish, Portugese, Spanish

Data Provided by:
Positive Directions
(203) 227-7644
420 Post Road West
Westport, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Hall Brooke Behavioral Health Services
(203) 227-1251x8804
47 Long Lots Road
Westport, CT
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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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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