Using Consent Forms New Philadelphia 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.

Personal and Family Counseling Servs
(330) 343-8171
1433 5th Street NW
New Philadelphia, OH
Hotline
(330) 364-1374
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Residential beds for clients' children, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Mental Healthcare Inc
(330) 343-6631
201 Hospital Drive
Dover, OH
Hotline
(330) 343-1811
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Men, Criminal justice clients

Data Provided by:
Affinity Medical Center
(330) 830-6987
875 8th Street NE
Massillon, OH
Hotline
(330) 837-7290
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient

Data Provided by:
Carroll County
(330) 627-5891
100 Canton Road NW
Carrollton, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Orca House Inc
(216) 231-3772x110
1909 East 89th Street
Cleveland, OH
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men

Data Provided by:
Tuscarawas County
(330) 343-5555x183
897 East Iron Avenue Extended
Dover, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Community Mental Healthcare Inc
(740) 922-3801
204 East 3rd Street
Uhrichsville, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Mental Healthcare Inc
(330) 627-4313
331 West Main Street
Carrollton, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
McKinley Hall Inc
(937) 328-5300
1101 East High Street
Springfield, OH
Hotline
(937) 328-5300
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Akron Urban Minority Alc/Drug Abuse
(330) 379-3467
665 West Market Street
Akron, OH
Services Provided
Substance abuse
Types of Care
Outpatient
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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