Consent: Rules about Obtaining Consent to Disclose Treatment Information Wasilla AK

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Alaska Family Services
(907) 376-4000
5851 East Mayflower Court
Wasilla, AK
Hotline
(907) 376-4000
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Alaska Addiction Rehab Services
(907) 376-4534
3701 Palmer Wasilla Street
Wasilla, AK
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, Men

Data Provided by:
Salvation Army
(907) 276-2898
1709 Bragaw Street
Anchorage, AK
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Providence Valdez Behavioral Health
(907) 835-2838
911 Meals Avenue
Valdez, AK
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Southcentral Foundation
(907) 729-5070x5073
4130 San Ernesto Avenue
Anchorage, AK
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, Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired, Inupiat, Yupik

Data Provided by:
Starting Point
(907) 376-6116
190 East Paulson Avenue
Wasilla, AK
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Volunteers of America Alaska
(907) 694-3336
7958 Stewart Mountain Drive
Eagle River, AK
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Residential beds for clients' children

Data Provided by:
Fort Wainwright Community Counseling
(907) 353-6059
Building 4066
Fort Wainwright, AK
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Maniilaq Recovery Center
(907) 442-7640
733 2nd Avenue
Kotzebue, AK
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment

Data Provided by:
Project Special Delivery
(907) 452-4222
710 3rd Avenue
Fairbanks, AK
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

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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