Consent: Rules about Obtaining Consent to Disclose Treatment Information Holland 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Pathways MI (formerly Child and Family
(616) 396-2301
412 Century Lane
Holland, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Holland Community Hospital
(616) 355-3926
854 South Washington Avenue
Holland, MI
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Catholic Charities West Michigan
(616) 796-9595x106
6660 Blair Lane
Holland, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Grand Haven Clinic
(616) 847-5145
1445 Sheldon Road
Grand Haven, MI
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Pine Rest Christian Mental Hlth Servs
(616) 222-3700
4211 Parkway Place
Grandville, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ottagan Addictions Recovery Inc (OAR)
(616) 396-5284
483 Century Lane
Holland, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Pine Rest Christian Mental Hlth Servs
(616) 820-3780
926 South Washington Street
Holland, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Pathways MI (formerly Child and Family
(616) 846-5880
321 South Beechtree Street
Grand Haven, MI
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Ottagan Addictions Recovery Inc (OAR)
(616) 842-6710
1310 Wisconsin Street
Grand Haven, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Counseling/Assessment Associates LLC
(248) 324-9744
32969 Hamilton Court
Farmington Hills, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

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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