Consent: Rules about Obtaining Consent to Disclose Treatment Information Hillsdale MI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

McCullough Vargas and Associates
(517) 439-8707
3251 Beck Road
Hillsdale, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
JEC Counseling
(248) 253-0176
91 North Saginaw Street
Pontiac, MI
Services Provided
Substance abuse
Types of Care
Outpatient
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:
Ultimate Solutions Inc
(734) 513-2800
24240 Buckingham Street
Livonia, MI
Hotline
(313) 414-7095
Services Provided
Substance abuse , Methadone Maintenance, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Pine Rest
(616) 222-5180
243 68th Street
Grand Rapids, MI
Services Provided
Substance abuse , 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
Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Eastwood Clinics
(313) 923-6830
11542 Conner Street
Detroit, MI
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
Gayle Seely
(517) 437-0309x1
4 North Howell Street
Hillsdale, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Saint Joseph Mercy Behavioral Services
(810) 844-7300
7960 West Grand River
Brighton, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Lac Vieux Desert
(906) 358-0252
E-23968 Pow Wow Trail
Watersmeet, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Reality Counseling Services
(616) 475-8660
2610 Buchanan Avenue SW
Wyoming, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Arabic, Chinese, German, Korean, Polish, Portugese, Russian, Serbian, Spanish, Vietnamese

Data Provided by:
University Psychiatric Center
(734) 464-4220x115
16836 Newburgh Road
Livonia, MI
Services Provided
Substance abuse
Types of Care
Outpatient

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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