Using Consent Forms Palatka FL

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.

Putnam Behavioral Healthcare
(386) 329-3780x8632
320 Kay Larkin Drive
Palatka, FL
Hotline
(386) 329-3780x8662
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Memorial Regional Hospital
(954) 985-1455
3400 North 29th Avenue
Hollywood, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Creole, Spanish

Data Provided by:
Broward Treatment Center
(954) 922-0522
1101 South 21st Avenue
Hollywood, FL
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Coastal Behavioral Healthcare Inc
(941) 492-4300
7810 South Tamiami Trail
Venice, FL
Hotline
(941) 952-1147
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women

Data Provided by:
DISC Village Inc
(850) 875-2422
79 LaSalle Path
Quincy, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, Portugese, Spanish

Data Provided by:
Stewart Marchman Center Inc
(386) 329-3725
310 South Palm Avenue
Palatka, FL
Hotline
(888) 516-2296
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Sutton Place Behavorial Health Inc
(904) 845-7777x409
371015 Eastwood Road
Hilliard, FL
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Multicultural Community MH Center Inc
(561) 653-6292
2721 Poinsettia Avenue
West Palm Beach, FL
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Lifestream Behavioral Center
(352) 394-5922
655 West Highway 50
Clermont, FL
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Eglin Air Force Base/Alcohol and Drug
(850) 883-9352
96 MDOS/SGOHA
Eglin AFB, FL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

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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