Consent: Rules about Obtaining Consent to Disclose Treatment Information Cedar Rapids IA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Mercy Medical Center
(319) 398-6226
5975 Rockwell Drive NE
Cedar Rapids, IA
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, Criminal justice clients

Data Provided by:
Cedar Valley Recovery Services
(319) 363-2678
120 3rd Avenue SW
Cedar Rapids, IA
Hotline
(319) 240-8911
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Alcohol and Drug Dependency Services
(319) 753-6567
1340 Mount Pleasant Street
Burlington, IA
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
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
Russian, Spanish

Data Provided by:
Alcohol and Drug Dependency Servs of
(319) 385-2216
122 North Main Street
Mount Pleasant, IA
Hotline
(319) 385-2216
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, DUI/DWI offenders

Data Provided by:
Community and Family Resources
(712) 297-7321
515 Court Street
Rockwell City, IA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Area Substance Abuse Council
(319) 390-4611
3601 16th Avenue SW
Cedar Rapids, IA
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
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
Saint Lukes Hospital
(319) 363-4429
1030 5th Avenue SE
Cedar Rapids, IA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Northwest Iowa Alcoholism and
(712) 262-2952
1900 Grand Avenue North
Spencer, IA
Hotline
(712) 262-2952
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
SIEDA Substance Abuse Services
(319) 293-3958
902 Fourth Street
Keosauqua, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Alcohol and Drug Dependency Servs of
(319) 524-4397
928 Main Street
Keokuk, IA
Hotline
(319) 524-4397
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

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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