Consent: Rules about Obtaining Consent to Disclose Treatment Information Silverdale WA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Cascade Recovery Center
(360) 698-7267
9095 McConnell Avenue NW
Silverdale, WA
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
ASL or other assistance for hearing impaired

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A New Beginning with Advantages
(360) 598-3929
19351 8th Avenue
Poulsbo, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Cascadia Addiction Treatment Services
(360) 373-0155
2817 Wheaton Way
Bremerton, WA
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, DUI/DWI offenders

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Advantages Counseling Services
(360) 479-0853
645 4th Street
Bremerton, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

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Suquamish Tribe Wellness Program
(360) 394-5200
18490 Suquamish
Suquamish, WA
Services Provided
Substance abuse treatment, Halfway house, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women, Men

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Naval Hospital Bremerton
(360) 315-3902
Building 2850
Silverdale, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Cascade Recovery Center North
(360) 697-7721
2017 Front Street
Poulsbo, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

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Right Choice Counseling Serv Inc
(360) 373-4077
1740 NE Riddell Road
Bremerton, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Agape Unlimited
(360) 373-1529
5464 Kitsap Way
Bremerton, WA
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Olympic Educational Services
(360) 405-5833
105 National Avenue North
Bremerton, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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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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