Using Consent Forms Los Banos CA

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.

Merced County Mental Health Department
(209) 827-2185
635 J Street
Los Banos, CA
Hotline
(209) 381-6800
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, Spanish

Data Provided by:
JJAK Psychotherapy Services Inc
(800) 961-9834
2001 North Garey Avenue
Pomona, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
Spanish

Data Provided by:
Paloma House
(831) 722-6599
321 East Beach Street
Watsonville, CA
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, Criminal justice clients
Language Services
Spanish

Data Provided by:
Westside Sober Living Centers Inc
(310) 390-2340
3743 South Barrington Avenue
Los Angeles, CA
Hotline
(866) 390-2340
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
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

Data Provided by:
Children''s Institute Inc
(213) 385-5100x1813
701 South New Hampshire Avenue
Los Angeles, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women
Language Services
Spanish

Data Provided by:
Changing Steps
(818) 991-4885
5655 Lindero Canyon Road
Westlake Village, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women

Data Provided by:
Miracles for Moms
(805) 525-7789
121 Davis Street
Santa Paula, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
CLARE Foundation Inc
(310) 314-6244
1020 Pico Boulevard
Santa Monica, CA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Criminal justice clients

Data Provided by:
King Drew Alcohol and Drug Program
(310) 631-5992
2711 North Wilmington Boulevard
Compton, CA
Hotline
(310) 631-5992
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Imperial Cnty Dept of Behavioral Hlth
(760) 337-7898
1295 State Street
El Centro, CA
Hotline
(800) 817-5292
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
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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