Consent: Rules about Obtaining Consent to Disclose Treatment Information Ann Arbor MI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Dawn Inc
(734) 769-7366
502 West Huron Street
Ann Arbor, MI
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)

Data Provided by:
Dawn Inc
(734) 821-0216
735 Victors Way
Ann Arbor, MI
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Jackson Counseling Agency
(734) 913-9225
1900 West Stadium Boulevard
Ann Arbor, MI
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, Men, DUI/DWI offenders

Data Provided by:
1st Step Referral Services
(734) 485-6161
110 Pearl Street
Ypsilanti, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Men, DUI/DWI offenders, Criminal justice clients

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Northwest Drug Rehabilitation Clinic
(734) 484-9600
880 North Ford Boulevard
Ypsilanti, MI
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men

Data Provided by:
Home of New Vision
(734) 975-1602
3800 Packard Street
Ann Arbor, MI
Hotline
(734) 975-1602
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ann Arbor Consultation Services Inc
(734) 996-9111x0
5331 Plymouth Road
Ann Arbor, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Heron Ridge Associates PLC
(734) 454-3560
1785 West Stadium Boulevard
Ann Arbor, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men

Data Provided by:
Dawn Inc
(734) 485-8725
6633 Stony Creek Road
Ypsilanti, MI
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Men

Data Provided by:
Heron Ridge Associates PLC
(734) 454-3560x63
340 North Main Street
Plymouth, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men
Language Services
French, Spanish

Data Provided by:
Data Provided by:

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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