Consent: Rules about Obtaining Consent to Disclose Treatment Information San Francisco 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Fort Help LLC
(415) 777-9953
915 Bryant Street
San Francisco, CA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women
Language Services
German

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Friendship House Assoc of Amer Indians
(415) 865-0964
56 Julian Street
San Francisco, CA
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, Women, Men
Language Services
Lakota, Navajo

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BAART FACET
(415) 928-7800
433 Turk Street
San Francisco, CA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women
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ASL or other assistance for hearing impaired, French, Spanish

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Joe Healy Medical Detoxification
(415) 553-4490
120 Page Street
San Francisco, CA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with HIV/AIDS, Women
Language Services
Spanish

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New Leaf Substance Abuse Services
(415) 626-7000
103 Hayes Street
San Francisco, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

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Haight Ashbury Free Clinics Inc
(415) 552-2114
1735 Mission Street
San Francisco, CA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Women, Men
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
Iris Center Womens Counseling and
(415) 864-2364x210
333 Valencia Street
San Francisco, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
Spanish

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Mission Council
(415) 864-0554x12
474 Valencia Street
San Francisco, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

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Harm Reduction Therapy Center
(415) 863-4282x3
423 Gough Street
San Francisco, CA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians
Language Services
Portugese, Spanish

Data Provided by:
Walden House
(415) 554-1131
1885 Mission Street
San Francisco, CA
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, Men
Language Services
Spanish

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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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