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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Teen Challenge International
(661) 746-4917
650 Riverside Avenue
Shafter, 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
Men

Data Provided by:
Kern County Mental Health Department
(661) 758-7300
930 F Street
Wasco, CA
Hotline
(661) 868-8000
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
Vietnamese

Data Provided by:
Citizens for the Betterment of Comm/
(661) 832-8504
3316 Laverne Street
Bakersfield, 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
Women, Residential beds for clients' children

Data Provided by:
Chumash Council of Bakersfield
(661) 327-4030x211
1617 30th Street
Bakersfield, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Aegis Medical Systems Inc
(661) 861-9967
1018 21st Street
Bakersfield, CA
Hotline
(800) 821-0775
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, Persons with HIV/AIDS, Women, Men
Language Services
Spanish

Data Provided by:
Special Treatment Education and
(661) 587-8817
10822 Rosedale Highway
Bakersfield, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Westcare California Inc
(661) 321-3124
4520 California Avenue
Bakersfield, CA
Hotline
(661) 321-3124
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Good Samaritan Hospital Southwest
(661) 398-1800x209
5201 White Lane
Bakersfield, CA
Hotline
(661) 398-1800
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Aegis Institute Inc
(661) 328-0245
501 West Columbus Street
Bakersfield, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ebony Counseling Center
(661) 324-4756
1301, 1311, and 1317 California Avenue
Bakersfield, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Criminal justice clients
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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