Using Consent Forms San Bernardino 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.

Christian Alcohol Awareness Program
(909) 884-7087
1550 North E Street
San Bernardino, CA
Services Provided
Halfway house

Data Provided by:
Peoples Choice Inc
(909) 889-6600x229
1505 West Highland Avenue
San Bernardino, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Veterans Alcoholic Rehab Progs (VARP)
(909) 888-6956
384 11th Street
San Bernardino, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Redlands Yucaipa Guidance Clinic
(909) 381-5100
939 and 955 1/2 North D Street
San Bernardino, CA
Hotline
(888) 743-1478
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Veterans Alcoholic Rehab Prog (VARP)
(909) 888-6956
1149 North D Street
San Bernardino, CA
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Inland Behavioral and Health Servs Inc
(909) 881-6146
1963 North E Street
San Bernardino, CA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Casa de San Bernardino
(909) 381-5507
735 North D Street
San Bernardino, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Hase and Associates Systems Inc
(909) 888-0149
353 West 6th Street
San Bernardino, CA
Hotline
(951) 536-0684
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Gays and Lesbians, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
New House Inc
(909) 381-5396
840 North Arrowhead Avenue
San Bernardino, CA
Hotline
(909) 881-0390
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
New House/Women With Children Under
(909) 381-5396
856, 856-1, 856-2, and 856-3
San Bernardino, CA
Hotline
(909) 881-0390
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
ASL or other assistance for hearing impaired, 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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