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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Hartford Dispensary
(860) 456-7990
54 Boston Post Road
Willimantic, CT
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
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Persons with HIV/AIDS, Seniors/older adults, Women
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United Services Inc
(860) 456-2261
132 Mansfield Avenue
Willimantic, CT
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(860) 774-2020
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Substance abuse
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Outpatient
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Spanish

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Johnson Memorial Hospital
(860) 684-4251
201 Chestnut Hill Road
Stafford Springs, CT
Hotline
(860) 684-8585
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Substance abuse , Detoxification
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Hospital inpatient, Outpatient
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Persons with co-occurring mental and substance abuse disorders
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New Hope Manor Inc
(860) 643-2701
48 Hartford Road
Manchester, CT
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Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
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Spanish

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Inter-Community Mental Hlth Group Inc
(860) 569-5903
281 Main Street
East Hartford, CT
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women

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Perception Programs Inc
(860) 450-7130
134 Church Street
Willimantic, CT
Services Provided
Substance abuse
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, Criminal justice clients

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Community Prev Addiction Services Inc
(860) 456-3215
1491 West Main Street
Willimantic, CT
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

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Stafford Family Services
(860) 684-4239
21 Hyde Park Road
Stafford Springs, CT
Services Provided
Substance abuse
Types of Care
Outpatient

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Community Prev Addiction Services Inc
(860) 645-0487
87-B Oak Street
Manchester, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

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Paces Counseling Associates Inc
(860) 528-3238
991 Main Street
East Hartford, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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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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