Using Consent Forms Bloomfield CT

When a rehab program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse.

Community Renewal Team
(860) 714-9200
675 Tower Avenue
Hartford, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
Hebrew, Spanish

Data Provided by:
Alcohol and Drug Recov Ctrs Inc (ADRC)
(860) 714-3739
500 Blue Hills Avenue
Hartford, CT
Hotline
(800) 563-4086
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Igbo, Spanish

Data Provided by:
Hogar Crea International of
(860) 232-7353
33 Center Street
Hartford, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
The Salvation Army Adult Rehab Center
(860) 527-8106
333 Homestead Avenue
Hartford, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
Polish, Spanish

Data Provided by:
Community Health Services Inc
(860) 808-8782
500 Albany Avenue
Hartford, CT
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Cedarcrest Hospital
(860) 293-6401
500 Vine Street
Hartford, CT
Services Provided
Substance abuse , Detoxification, Methadone Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Alcohol and Drug Recov Ctrs Inc ADRC
(860) 714-3703
46 Coventry Street
Hartford, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Wheeler Clinic Inc
(860) 523-9788
645 Farmington Avenue
Hartford, CT
Hotline
(860) 747-3434
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Youth Challenge of Connecticut
(860) 527-2000
32 Atwood Street
Hartford, CT
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women

Data Provided by:
CRT Behavorial Health Services
(860) 714-9200
675 Tower Avenue
Hartford, CT
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Data Provided by:

Using Consent Forms

Using Consent Forms

The fact that a client has signed a valid consent form authorizing the release of information does not mean that a program must make the proposed disclosure, unless the program has also received a subpoena or court order (§§2.3(b)(1); 2.61(a)(b)). In most cases, the decision whether to make a disclosure authorized by a client’s signed consent is up to the program, unless State law requires or prohibits a particular disclosure once consent is given. The program’s only obligation under the Federal regulations is to refuse to honor a consent that is expired, deficient, or otherwise known to be revoked, false, or incorrect (§2.31(c)).

In general, it is best to follow this rule: Disclose only what is necessary, for only as long as is necessary, keeping in mind the purpose for disclosing the information.

Using consent forms to seek information from collateral sources

Making inquiries of families, partners, schools, employers, doctors, and other health care providers might, at first glance, seem to pose no risk to a client’s right to confidentiality. But it does.

When a program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse. The Federal regulations generally prohibit this kind of disclosure unless the clie...

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