Using Consent Forms Clifton Heights PA

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.

Family and Community Service of
(610) 626-5800
37 North Glenwood Avenue
Clifton Heights, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Center For Addictive Disease/Main Li
(610) 645-6543
401 Pilgrim Lane
Drexel Hill, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Harwood House
(610) 853-3440
9200 West Chester Pike
Upper Darby, PA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Integrative Life Services
(610) 789-6005
2010 Old West Chester Pike
Havertown, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women

Data Provided by:
Child Guidance Resource Centers
(484) 454-8700
2000 Old West Chester Pike
Havertown, PA
Hotline
(484) 454-8700
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Northwestern Human Services of
(610) 534-3636
800 Chester Pike
Sharon Hill, PA
Hotline
(877) 762-3711
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Changing Times Center
(610) 534-3636
9 South 69th Street
Upper Darby, PA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Women''s Institute for Family Health
(215) 763-3680
6250 Walnut Street OFC
Philadelphia, PA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

Data Provided by:
Mercy Hospital of Philadelphia
(215) 748-9188
501 South 54th Street
Philadelphia, PA
Hotline
(215) 748-9525
Services Provided
Substance abuse , Detoxification, Methadone 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:
Kirkbride Center
(215) 471-2600
111 North 49th Street
Philadelphia, PA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, Criminal justice clients

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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