Consent: Rules about Obtaining Consent to Disclose Treatment Information Burnsville MN

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Fairview Ridges
(612) 672-2736
156 Cobblestone Lane
Burnsville, MN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Drug and Alcohol Services
(952) 564-3000
501 East Highway 13
Burnsville, MN
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
Language Services
Spanish

Data Provided by:
River Ridge Treatment Center
(952) 894-7722
1510 East 122nd Street
Burnsville, MN
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, Men, DUI/DWI offenders

Data Provided by:
Lifestyle Counseling of
(952) 888-3511
9613 Girard Avenue South
Bloomington, MN
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Progress Valley II
(612) 869-3223
308 East 78th Street
Richfield, MN
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women

Data Provided by:
Anthony Louis Center
(952) 890-8879
1517 East Highway 13
Burnsville, MN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Dakota Treatment Center
(952) 890-4480
11939 River Hills Drive
Burnsville, MN
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
CREATE South
(952) 432-1391
15025 Glazier Avenue
Apple Valley, MN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Lifestyle Counseling Services
(952) 447-1117
14162 Commerce Avenue NE
Prior Lake, MN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Avalon/Eagan
(651) 454-2833
1230 Eagan Industrial Road
Eagan, MN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

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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