Using Consent Forms Potsdam 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.

Canton/Potsdam Hospital
(315) 261-5954
50 Leroy Street
Potsdam, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Hospital inpatient

Data Provided by:
North Country Freedom Homes
(315) 379-0139x11
25 Dies Street
Canton, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
CAN/AM Youth Services Inc
(315) 764-9700x239
County Route 43
Massena, NY
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Tempo Group Syosset
(516) 921-3740
23 Willis Avenue
Syosset, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients

Data Provided by:
Carnegie Hill Institute Inc
(212) 289-7166
116 East 92nd Street
New York, NY
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
North Country Freedom Homes
(315) 379-0139x11
3702 County Route 14
Madrid, NY
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Saint Lawrence County
(315) 386-2189
80 State Highway 310
Canton, NY
Hotline
(315) 265-2422
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
TRI Center Inc
(718) 584-7204
2488 Grand Concourse Street
Bronx, NY
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Criminal justice clients
Language Services
Spanish

Data Provided by:
Hudson River Healthcare Hudson River
(914) 734-8740
1037 Main Street
Peekskill, NY
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:
Charles K Post Addiction Treatment Ctr
(631) 434-7209
998 Crooked Hill Road
Brentwood, NY
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less)
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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