Consent: Rules about Obtaining Consent to Disclose Treatment Information Wapakoneta OH

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Family Resource Centers
(419) 394-7451
720 Armstrong Street
Saint Marys, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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ASTOP Inc
(419) 222-4557x104
1519 North Main Street
Lima, OH
Hotline
(800) 567-4673
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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Lutheran Social Services
(419) 675-2243
775 East Eliza Street
Kenton, OH
Services Provided
Substance abuse
Types of Care
Outpatient

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Interval Brotherhood Homes Inc
(330) 644-4095
3445 South Main Street
Akron, OH
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Men

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Crossroads Counseling Services Inc
(740) 782-1407
41481 Stenger Road
Belmont, OH
Hotline
(888) 202-3900
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Men

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Lutheran Social Services
(419) 229-2222
205 West Market Street
Lima, OH
Services Provided
Substance abuse
Types of Care
Outpatient

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Saint Rita''s Medical Center
(419) 226-9029
730 West Market Street
Lima, OH
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

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Health Recovery Services Inc
(740) 596-2542
320 West Main Street
Mc Arthur, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women
Language Services
ASL or other assistance for hearing impaired

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Pathways Counseling Center Inc
(419) 523-4300
835 North Locust Street
Ottawa, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Scioto/Paint Valley Mental Health Ctr
(740) 335-6935
1300 East Paint Street
Washington Court House, OH
Hotline
(740) 335-7155
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired

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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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