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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Columbia River Mental Health
(360) 993-3000
6926 East 4th Plain Boulevard
Vancouver, WA
Services Provided
Substance abuse treatment, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired, Arabic, Indonesian, Russian, Spanish, Tagalog, Vietnamese

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Daybreak/Vancouver
(360) 750-9588
2924 Falk Road
Vancouver, WA
Services Provided
Substance abuse treatment
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Cowlitz Tribal Treatment Vancouver
(360) 397-8228
1601 East 4th Plain Boulevard
Vancouver, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Rivercrest Treatment Center
(360) 696-3307
1801 D Street
Vancouver, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient

Data Provided by:
Kaiser Permanente
(360) 253-2317
14406 NE 20th Avenue
Vancouver, WA
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Veterans Affairs Medical Center
(360) 690-1841
1601 East 4th Plain Boulevard
Vancouver, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men, DUI/DWI offenders

Data Provided by:
Life Line Connections
(360) 397-8246
1601 East 4th Plain Street
Vancouver, WA
Hotline
(360) 397-8246x7486
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Northwest CD Professionals
(360) 737-1994
1515 Broadway Street
Vancouver, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Western Psychological and
(360) 906-1190
7507 NE 51st Street
Vancouver, WA
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Kaiser Permanente
(360) 891-6298
12607 SE Mill Plain Boulevard
Vancouver, WA
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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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