Using Consent Forms Valley Village 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.

Studio 12 Private Alcohol and Drug
(818) 761-7374
12406 Magnolia Boulevard
Valley Village, CA
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient

Data Provided by:
Twin Town Treatment Centers
(818) 985-0560
6180 Laurel Canyon Boulevard
North Hollywood, CA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

Data Provided by:
Choice and Change
(818) 786-6632
6308 Woodman Avenue
Van Nuys, CA
Hotline
(818) 786-6632
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Action Family Counseling Inc
(818) 763-9556
11372 Ventura Boulevard
Studio City, CA
Hotline
(800) 367-8336
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Western Pacific Med Corp
(818) 506-4455
11321 Camarillo Street
North Hollywood, CA
Hotline
(818) 506-4455
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:
CRI Help Inc
(818) 985-8323
5536 Fulcher Avenue
North Hollywood, CA
Services Provided
Halfway house

Data Provided by:
Western Pacific Med Corp
(818) 989-1996
14332 Victory Boulevard
Van Nuys, CA
Hotline
(818) 989-1996
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:
California People Counseling Center
(818) 943-2726
4928 Lankershim Boulevard
North Hollywood, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Community Alc and Drug Trt Foundation
(818) 787-4151
14558 Sylvan Street
Van Nuys, CA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women
Language Services
Romanian, Russian, 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:
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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