Consent: Rules about Obtaining Consent to Disclose Treatment Information Verona PA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Gateway
(412) 963-7077
1360 Old Freeport Road
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

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Family Links INC
(412) 766-1610
211 North Whitfield Street
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women

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Alliance Medical Services Inc
(412) 488-6360
739 Ensign Avenue
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women

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Homewood/Brushton YMCA
(412) 243-2900
7140 Bennett Street
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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Discovery House PA
(412) 661-9222
1391 Washington Boulevard
Pittsburgh, PA
Hotline
(800) 366-7929
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Women, Men

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Family Resources
(412) 363-1702
141 South Highland Avenue
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient

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Alpha House
(412) 363-4220
435 Shady Avenue
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Women, Men
Language Services
Arabic

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Western Psychiatric Institute Clinic
(412) 363-7383
6714 Kelly Street
Pittsburgh, PA
Hotline
(412) 246-5500
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Family Services Of Western Pennsylvani
(412) 661-1670
211 North Whitfield Street
Pittsburgh, PA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Wesley Spectrum Services
(412) 342-2300
6117 Broad Street
Pittsburgh, PA
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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