Consent: Rules about Obtaining Consent to Disclose Treatment Information Harwood Heights IL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Norwood Park Township Family Services
(708) 867-6886
4600 North Harlem Avenue
Harwood Heights, IL
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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DUI Counseling Center
(773) 489-5200
4701 North Cumberland Avenue
Norridge, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Polish, Spanish

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Way Back Inn Inc
(773) 777-2696
3821 North Harlem Avenue
Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Polish

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Youth Outreach Services
(773) 777-6377
6417 West Irving Park Road
Chicago, IL
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Spanish

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Counseling Center of Illinois
(773) 777-6767
4515 North Milwaukee Street
Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Polish, Russian, Serbian, Spanish

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New Leaf Counseling LLC
(847) 391-4180
1460 Renaissance Drive
Park Ridge, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

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Maine Center
(847) 696-1376x413
832 Busse Highway
Park Ridge, IL
Hotline
(847) 696-1576
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Lutheran Social Services of Illinois
(773) 637-1144
5825 West Belmont Avenue
Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women

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Leyden Family Service
(847) 451-0330
10001 West Grand Avenue
Franklin Park, IL
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Polish American Association
(773) 282-8206x354
3834 North Cicero Avenue
Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Polish

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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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