Consent: Rules about Obtaining Consent to Disclose Treatment Information Bismarck ND

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Audrey Kazmierczak Counseling Service
(701) 471-1170
418 East Rosser Avenue
Bismarck, ND
Hotline
(701) 471-1170
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
West Central Human Service Center
(701) 328-8888
Prairie Hills Plaza
Bismarck, ND
Hotline
(701) 328-8899
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Pathways to Freedom
(701) 426-6308
208 East Main Avenue
Bismarck, ND
Hotline
(701) 426-6308
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
ACS Crisis Residential
(701) 223-4517x26
3230 East Thayer Avenue
Bismarck, ND
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient

Data Provided by:
New Freedom Center
(701) 222-4673
905 East Interstate Avenue
Bismarck, ND
Hotline
(800) 334-8244
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
DE Counseling Service
(701) 255-2756
418 East Rosser Avenue
Bismarck, ND
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, Women, Men

Data Provided by:
Heartview Foundation
(701) 222-0386
101 East Broadway
Bismarck, ND
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Saint Alexius Med Partial Hosp Prog
(701) 530-7255
311 North 11th Street
Bismarck, ND
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Rose Basaraba Counseling Services
(701) 224-1615
433 East Bismarck Expressway
Bismarck, ND
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
S.T.E.P.S.
(701) 226-6752
1720 Burnt Boat Road
Bismarck, ND
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

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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