Consent: Rules about Obtaining Consent to Disclose Treatment Information Eau Claire WI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Eau Claire Academy
(715) 834-6681
550 North Dewey Street
Eau Claire, WI
Services Provided
Substance abuse treatment
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Fahrman Center
(715) 835-9110
3136 Craig Road
Eau Claire, WI
Services Provided
Substance abuse treatment
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
First Things First
(715) 832-8432
2125 Heights Drive
Eau Claire, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
L E Phillips Libertas Center
(715) 723-5585
2661 County Highway I
Chippewa Falls, WI
Hotline
(715) 723-5585
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
New Start Program Meriter Hospital
(608) 417-8144
202 South Park Street
Madison, WI
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Eau Claire Metro Treatment Center
(715) 834-1078
2000 North Oxford Avenue
Eau Claire, WI
Services Provided
Substance abuse treatment, Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Triniteam Inc
(715) 836-8106
202 Graham Avenue
Eau Claire, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Serenity House Inc
(715) 723-8468
205 East Grand Avenue
Chippewa Falls, WI
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Mercy Options
(608) 365-2709
2825 Prairie Avenue
Beloit, WI
Services Provided
Substance abuse treatment, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Milwaukee Health Service Systems II
(414) 744-5370
4800 South 10th Street
Milwaukee, WI
Hotline
(800) 797-6237
Services Provided
Substance abuse treatment, Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Hmong, 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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