Using Consent Forms Monroe NY

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.

Create Inc
(212) 663-1596
73-75 Lenox Avenue
New York, NY
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Staten Island YMCA Counseling Services
(718) 948-3232
3911 Richmond Avenue
Staten Island, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Richmond University Medical Center
(718) 876-2362
427 Forest Avenue
Staten Island, NY
Hotline
(718) 818-6132
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Russian, Spanish

Data Provided by:
Copay Inc Chemical Dependency Outpt
(516) 466-2509
21 North Station Plaza
Great Neck, NY
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
Portugese, Spanish

Data Provided by:
Promesa Inc
(718) 299-1100x3046
1776 Clay Avenue
Bronx, NY
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Volunteers of America of Western NY
(585) 454-1151x7410
175 Ward Street
Rochester, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Saint Josephs Rehabilitation Center
(518) 891-5353
91 Woodruff Street
Saranac Lake, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men

Data Provided by:
Mercy Hospital Association
(516) 705-3407
385 Oak Street
Garden City, NY
Hotline
(516) 705-2248
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Seton Health Addiction Services
(518) 268-5542
1300 Massachusetts Avenue
Troy, NY
Hotline
(518) 268-5542
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less)
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Bry Lin Hospitals
(716) 633-1927
5225 Sheridan Drive
Williamsville, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Women, DUI/DWI offenders
Language Services
Polish, 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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