Tip for 42 CFR Part 2 Consent

42 CFR Part 2 protections are STRONGER than HIPAA — substance use disorder records cannot be disclosed without this specific consent

Tip for 42 CFR Part 2 Consent

The consent must include an expiration date or condition — open-ended consents are not valid

Tip for 42 CFR Part 2 Consent

You can limit the scope of disclosure (specific dates, types of information, specific providers)

Behavioral Healthmoderate

42 CFR Part 2 Substance Use Disorder Consent

42 CFR Part 2 Consent · Substance Abuse Treatment Programs

Special consent required under federal law (42 CFR Part 2) for disclosure of substance use disorder treatment records. More restrictive than standard HIPAA authorization. Requires specific elements including prohibition on re-disclosure.

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Where to Submit This Form

🏢

Complete and sign at the treatment program that maintains your substance use disorder records

This is a federal consent form required under 42 CFR Part 2 to release SUD treatment records.

Filing Deadline

No deadline — consent can be provided at any time. Consent can be revoked at any time in writing.

Required Attachments

📎 Signed 42 CFR Part 2 compliant consent form
📎 Specific identification of the records to be disclosed
📎 Name of the recipient(s) authorized to receive the information
📎 Purpose of the disclosure
📎 Patient's signature and date

Processing Time

Immediate upon execution. Records should be released within the timeframe specified on the consent form (typically 5-30 days).

What Happens Next

The treatment program will release only the specific records described in the consent to the named recipient(s). The recipient must be notified that re-disclosure is prohibited under federal law. You can revoke consent at any time in writing.

Tips for This Form

✓ 42 CFR Part 2 protections are STRONGER than HIPAA — substance use disorder records cannot be disclosed without this specific consent
✓ The consent must include an expiration date or condition — open-ended consents are not valid
✓ You can limit the scope of disclosure (specific dates, types of information, specific providers)
✓ Revoking consent does not affect disclosures already made while the consent was in effect

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the Substance Abuse Treatment Programs or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.