Using Consent Forms Coshocton OH

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.

Your Human Resource Center
(330) 674-4608
186 West Jackson Street
Millersburg, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Lutheran Social Services
(419) 243-9178
2149 Collingwood Boulevard
Toledo, OH
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Center for Alcoholism and Drug
(937) 461-5223
1 Elizabeth Place SE
Dayton, OH
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
McIntyre Center
(440) 887-1100
6285 Pearl Road
Parma Heights, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Kaiser Permanente Medical Center
(216) 265-6800
12301 Snow Road
Parma, OH
Hotline
(216) 265-6800
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Crossroads Counseling Services Inc
(740) 695-9447
255 West Main Street
Saint Clairsville, OH
Hotline
(888) 222-3900
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Lake Geauga Center on Alcoholism and
(440) 255-0678x202
9083 Mentor Avenue
Mentor, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
ASTOP Inc
(419) 222-4557x104
1519 North Main Street
Lima, OH
Hotline
(800) 567-4673
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Assessment and Trt Services
(216) 271-5522
7835 Harvard Avenue
Cleveland, OH
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)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Criminal justice clients

Data Provided by:
Woods at Parkside
(614) 471-2552
349 Olde Ridenour Road
Columbus, OH
Hotline
(800) 282-5512
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
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:

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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