Consent: Rules about Obtaining Consent to Disclose Treatment Information Brazil IN

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Hamilton Center Inc
(812) 448-8801
1211 East National Avenue
Brazil, IN
Hotline
(800) 742-0787
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Hamilton Center Inc
(812) 231-8323
620 8th Avenue
Terre Haute, IN
Hotline
(800) 742-0787
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient

Data Provided by:
Recovery Associates Inc
(812) 232-5272
2911 Ijams Drive
Terre Haute, IN
Services Provided
Substance abuse , Halfway house
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
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Hamilton Center Inc
(765) 569-2031
215 North Jefferson Street
Rockville, IN
Hotline
(800) 742-0787
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
WB III
(260) 486-9506
3482 Stellhorn Road
Fort Wayne, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, Criminal justice clients

Data Provided by:
Recovery Associates Inc
(812) 478-5454
605 Ohio Street
Terre Haute, IN
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Hamilton Center Inc
(812) 231-8171x231
66 Wabash Court
Terre Haute, IN
Hotline
(800) 742-0787
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Hamilton Center Inc
(765) 832-2436
510 South Main Street
Clinton, IN
Hotline
(800) 742-0787
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Hamilton Center Inc
(765) 653-1024
239 Hillsdale Avenue
Greencastle, IN
Hotline
(800) 742-0787
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Community Hospitals of Indiana Inc
(317) 392-2564
7 East Hendricks Street
Shelbyville, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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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