Using Consent Forms San Bruno 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.

Kaiser Permanente Medical Center
(650) 616-6200
1001 Sneath Lane
San Bruno, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men
Language Services
Spanish

Data Provided by:
Project Ninety Inc
(650) 579-7881
15 Lewis Street
South San Francisco, 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, Men
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Entre Familia Outpatient
(650) 244-1444
301 Grand Avenue
South San Francisco, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Latino Commission on Alc/DA Services
(415) 468-1914
105 McLain Road
Brisbane, CA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women
Language Services
Spanish

Data Provided by:
Youth and Family Enrichment Servs Inc
(650) 755-0858
333 Gellert Boulevard
Daly City, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Latino Commission on Alc/DA Services
(650) 244-1444
693 7th Avenue
San Bruno, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men
Language Services
Spanish

Data Provided by:
Asian American Recovery Services Inc
(650) 243-4850
1115 Mission Road
South San Francisco, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
Burmese, Chinese, Korean, Spanish

Data Provided by:
Pyramid Alternatives Inc
(650) 355-8787
480 Manor Plaza
Pacifica, CA
Hotline
(650) 726-6655
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
French, Japanese, Russian, Spanish, Tagalog

Data Provided by:
Asian American Recovery Services Inc
(415) 337-0140
6181 Mission Street
Daly City, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, Criminal justice clients
Language Services
Tagalog

Data Provided by:
SD Consulting Services
(650) 222-6134
1220 Howard Avenue
Burlingame, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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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