Consent: Rules about Obtaining Consent to Disclose Treatment Information Willimantic CT

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Perception Programs Inc
(860) 450-7130
134 Church Street
Willimantic, CT
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, Women, Men, Criminal justice clients

Data Provided by:
Hartford Dispensary
(860) 456-7990
54 Boston Post Road
Willimantic, CT
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Seniors/older adults, Women
Language Services
Spanish

Data Provided by:
Hartford Dispensary
(860) 886-0446
772 West Thames Street
Norwich, CT
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Seniors/older adults, Women
Language Services
Spanish

Data Provided by:
Community Prev Addiction Services Inc
(860) 645-0487
87-B Oak Street
Manchester, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

Data Provided by:
Youth Challenge of Connecticut
(860) 564-8400
111 North Sterling Road
Moosup, CT
Hotline
(860) 564-8400
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
Community Prev Addiction Services Inc
(860) 456-3215
1491 West Main Street
Willimantic, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

Data Provided by:
United Services Inc
(860) 456-2261
132 Mansfield Avenue
Willimantic, CT
Hotline
(860) 774-2020
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
SE Council on Alc and Drug Depend Inc
(860) 889-3178x10
321 Main Street
Norwich, CT
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, Spanish

Data Provided by:
New Hope Manor Inc
(860) 643-2701
48 Hartford Road
Manchester, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Johnson Memorial Hospital
(860) 684-4251
201 Chestnut Hill Road
Stafford Springs, CT
Hotline
(860) 684-8585
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
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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