Consent: Rules about Obtaining Consent to Disclose Treatment Information Addison IL

Most general rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31.

New Visions Counseling Services Inc
(630) 493-1100
1690 West Lake Street
Addison, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Soft Landing Interventions
(630) 261-9220
1S224 Summit Avenue
Oakbrook Terrace, IL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

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MedMark Treatment Centers
(000) 000-0000
2 Transam Plaza Drive
Villa Park, IL
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

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ARIZA Resource Center
(630) 539-2620
201 East Army Trail Road
Bloomingdale, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Men, DUI/DWI offenders, Criminal justice clients

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Elmhurst Memorial Hospital
(630) 941-4577
183 North York Road
Elmhurst, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Serenity House Inc
(630) 620-6616x105
891 South Route 53
Addison, IL
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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Confidential DUI Services
(708) 222-0003
17 W662 Butterfield Road
Oakbrook Terrace, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

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Families Matter Behavioral Health Inc
(630) 675-7686
2 Mid America Plaza
Oakbrook Terrace, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients

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Treatment Centers of Illinois
(630) 705-0556
305 South Main Street
Lombard, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Kevin and Associates Inc
(630) 941-8270
257 North West Avenue
Elmhurst, IL
Hotline
(630) 941-8270
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Language Services
Chinese

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Consent: Rules about Obtaining Consent to Disclose Treatment Information

Consent: Rules About Obtaining Consent To Disclose Treatment Information

The most frequently used exception to the regulations’ general rule prohibiting disclosure is client consent. (Parental consent must also be obtained in some States. See below.) The regulations’ requirements regarding consent are strict and somewhat unusual and must be carefully followed.

Most disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31:

1. The name or general description of the program(s) making the disclosure

2. The name or title of the individual or organization that will receive the disclosure

3. The name of the client who is the subject of the disclosure

4. The purpose or need for the disclosure

5. How much and what kind of information will be disclosed

6. A statement that the client may revoke (take back) the consent at any time, except to the extent that the program has already acted on it

7. The date, event, or condition upon which the consent will expire if not previously revoked

8. The signature of the client (and, in some States, his or her parent)

9. The date on which the consent is signed (§2.31(a)).

A general medical release form, or any consent form that does not contain all of the elements listed above, is not acceptable. (See the sample consent form in exhibit 3–1.) ...

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