Consent: Rules about Obtaining Consent to Disclose Treatment Information Forest Lake 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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 Recovery Services
(612) 672-2736
20 North Lake Drive
Forest Lake, MN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired

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Life House
(651) 408-7121
31065 Forest Boulevard
Stacy, MN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women

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Hazelden Foundation
(800) 257-7800
15251 Pleasant Valley Road
Center City, MN
Hotline
(800) 257-7800
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired, Japanese, Spanish

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Anthony Louis Center
(763) 757-2906
1000 Paul Parkway
Blaine, MN
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Adolescents

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Amethyst Counseling Services
(651) 633-4532
1405 Silver Lake Road
New Brighton, MN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men

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Rebecca''s Residence
(651) 433-5839
21077 Penrose Avenue North
Scandia, MN
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Women

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Fairview Recovery Services
(612) 672-2736
11725 Stinson Avenue
Chisago City, MN
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Grace Counseling Services
(763) 413-8838
16525 NE Highway 65
Ham Lake, MN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Volunteers of America
(651) 484-7840
5100 Hodgson Road
St. Paul, MN
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
New Choices For Recovery
(651) 430-2720
375 East Orleans Street
Stillwater, MN
Hotline
(651) 430-2720
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

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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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