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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Second Chance Inc
(510) 481-8645
1403 164th Avenue
San Leandro, CA
Hotline
(510) 792-4357
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Wistar R and R Program Inc
(510) 638-4470
273 Tunis Road
Oakland, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

Data Provided by:
HAART
(510) 727-9755x22
20094 Mission Boulevard
Hayward, CA
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, 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:
Bi Bett Corp
(510) 568-2432
10700 McArthur Boulevard
Oakland, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Seniors/older adults, Women, Men, Criminal justice clients

Data Provided by:
Lifeline Treatment Services Inc
(510) 777-8448
9442-9500 International Boulevard
Oakland, CA
Hotline
(510) 712-6601
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women

Data Provided by:
East Bay Community Recovery Project
(510) 728-8600
22971 Sutro Street
Hayward, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Women, Men, Criminal justice clients
Language Services
Spanish, Tagalog

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:
Second Chance Hayward Recovery Center
(510) 886-8696
107 Jackson Street
Hayward, CA
Hotline
(510) 792-4357
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Criminal justice clients
Language Services
Spanish

Data Provided by:
Solid Foundation
(510) 553-9973
6939 MacArthur Boulevard
Oakland, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children

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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