Using Consent Forms Cave Creek AZ

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.

Mountain Valley and Associates Inc
(602) 870-0972
2432 West Peoria Avenue
Phoenix, AZ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Thunderbird Treatment Center
(602) 938-2301
13820 North 51st Avenue
Glendale, AZ
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, Pregnant/postpartum women, Women

Data Provided by:
Fort McDowell Yavapai Nation
(480) 816-7990
16240 North Fort McDowell Road
Fort McDowell, AZ
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Southeastern AZ
(520) 432-7751
1326 Highway 92
Bisbee, AZ
Hotline
(520) 586-9161
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Guidance Center Inc
(928) 527-1899
2187 North Vickey Street
Flagstaff, AZ
Hotline
(928) 527-1899
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Banner Thunderbird Behavioral Health
(602) 865-5555
5555 West Thunderbird Road
Glendale, AZ
Hotline
(602) 254-4357
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Medical Services Inc
(602) 248-8886
2255 West Northern Avenue
Phoenix, AZ
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Phoenix VA Healthcare System
(602) 277-5551x7640
650 East Indian School Road
Phoenix, AZ
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
EXCEL Group
(800) 880-8901
3250 A East 40th Street
Yuma, AZ
Hotline
(866) 495-6735
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient
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:
Tucson Alcoholic Recovery Home Inc
(520) 884-5180
1809 East 23rd Street
Tucson, AZ
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)

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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