Consent: Rules about Obtaining Consent to Disclose Treatment Information Grand Island NE

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Saint Francis
(308) 398-5427
2116 West Faidley Avenue
Grand Island, NE
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women, Men

Data Provided by:
Mid Plains Center for
(308) 385-5250
914 Baumann Drive
Grand Island, NE
Hotline
(800) 515-3326
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Heartland Counseling and
(308) 324-6754
307 East 5th Street
Lexington, NE
Hotline
(877) 269-2079
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
CenterPointe
(402) 475-8718
2633 P Street
Lincoln, NE
Hotline
(402) 475-5683
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Arabic

Data Provided by:
Nebraska Urban Indian Health Coalition
(402) 346-0902
2240 Landon Court
Omaha, NE
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Seniors/older adults, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Veterans Affairs Medical Center
(308) 382-3660x92296
2201 North Broadwell Street
Grand Island, NE
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient

Data Provided by:
Lutheran Family Services
(402) 435-2910
2900 O Street
Lincoln, NE
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Bryan LGH Medical Center West
(402) 481-5268
1650 Lake Street
Lincoln, NE
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women, Men

Data Provided by:
Blue Valley Behavioral Health
(402) 245-4458
116 West 19th Street
Falls City, NE
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Alcoholics Resocialization
(402) 346-8898
604 South 37th Street
Omaha, NE
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
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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