Using Consent Forms Pacoima 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.

Didi Hirsch CMHC
(818) 897-2609
11643 Glenoaks Boulevard
Pacoima, 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, Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
El Proyecto Del Barrio
(818) 895-2206
9140 Van Nuys Boulevard
Panorama City, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men
Language Services
Spanish

Data Provided by:
CRI Help Inc
(818) 255-7030
8330 Lankershim Boulevard
North Hollywood, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, Criminal justice clients

Data Provided by:
Valley Community Clinic
(818) 763-1718x392
6801 Coldwater Canyon Avenue
North Hollywood, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men

Data Provided by:
Reseda Substance Abuse Treatment
(818) 895-5002
8745 Parthenia Place
North Hills, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Men, Criminal justice clients
Language Services
Russian, Spanish

Data Provided by:
Western Pacific Med Corp
(818) 891-8555
9462 Van Nuys Boulevard
Panorama City, CA
Hotline
(818) 891-8555
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women
Language Services
Arabic, Spanish

Data Provided by:
Northeast Valley Health Corporation
(818) 361-0511
1161 North Maclay Avenue
San Fernando, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Spanish

Data Provided by:
MaClay Rehabilitation Centre
(818) 362-5615
13770 Sayre Street
Sylmar, CA
Hotline
(888) 446-4343
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), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Total Family Support Clinic
(818) 833-9789
13741 Foothill Boulevard
Sylmar, CA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Pregnant/postpartum women
Language Services
Russian, Spanish

Data Provided by:
I-ADARP
(818) 994-7454
6740 Kester Avenue
Van Nuys, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
ASL or other assistance for hearing impaired, Spanish, Tagalog

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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