Consent: Rules about Obtaining Consent to Disclose Treatment Information Buffalo Grove 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Omni Youth Services
(847) 353-1500
1111 West Lake Cook Road
Buffalo Grove, IL
Hotline
(847) 353-1500
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Omni Youth Services
(847) 541-0199
210 North Wolf Road
Wheeling, IL
Hotline
(847) 353-1500
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Arlington Center for Recovery LLC
(847) 243-0330
21457 Milwaukee Avenue
Deerfield, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Omni Youth Services
(847) 253-6010
1616 North Arlington Heights Road
Arlington Heights, IL
Hotline
(847) 353-1500
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Bridge Youth and Family Services
(847) 359-7490
721 South Quentin Road
Palatine, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Northern Illinois Council on Alc and
(847) 634-6422
2900 North Main Street
Buffalo Grove, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
DUI Counseling Center
(847) 459-8879
1098 South Milwaukee Avenue
Wheeling, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Polish, Spanish

Data Provided by:
Lake County Health Dept /CHC
(847) 377-7950
24647 North Milwaukee Avenue
Vernon Hills, IL
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Residential beds for clients' children

Data Provided by:
Omni Youth Services
(847) 540-0680
1025 Old McHenry Road
Lake Zurich, IL
Hotline
(847) 353-1500
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Counseling Center of Illinois
(773) 777-6767
115 South Wilke Road
Arlington Heights, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Polish, Russian, Serbian, 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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