Consent: Rules about Obtaining Consent to Disclose Treatment Information Wantagh NY

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Southeast Nassau Guidance Center (SNG)
(516) 781-1911
3375 Park Avenue
Wantagh, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

Data Provided by:
Tempo Group Inc
(516) 546-9008
1260 Meadowbrook Road
North Merrick, NY
Hotline
(516) 374-3671
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men

Data Provided by:
Nassau University Medical Center
(516) 572-6394
2201 Hempstead Turnpike
East Meadow, NY
Services Provided
Substance abuse , Detoxification, Methadone Detoxification
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Bethpage Adolescent Development
(516) 433-5344
936 Stewart Avenue
Bethpage, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Mercy Medical Center
(516) 794-0160
150 Buffalo Avenue
Freeport, NY
Hotline
(516) 546-7070
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)

Data Provided by:
Southeast Nassau Guidance Center (SNG)
(516) 679-9800
2146 Jackson Avenue
Seaford, NY
Hotline
(516) 679-9800
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Yes Community Counseling Center
(516) 799-3203
75 Grand Avenue
Massapequa, NY
Hotline
(516) 799-3000
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Italian, Spanish

Data Provided by:
Bridge Back to Life Center Inc
(516) 520-6600
4271 Hempstead Turnpike
Bethpage, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

Data Provided by:
South Shore Child Guidance Center
(516) 378-2992
17 West Merrick Road
Freeport, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Freeport Pride Inc
(516) 546-2822
33 Guy Lombardo Avenue
Freeport, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
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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