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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Community Healing Center
(269) 382-9820
1910 Shaffer Street
Kalamazoo, MI
Services Provided
Substance abuse , Detoxification, Halfway house, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Kalamazoo Psychology LLC
(269) 349-4219
122 West South Street
Kalamazoo, MI
Hotline
(269) 577-1032
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
University Substance Abuse Clinic
(269) 387-8230
1000 Oakland Drive
Kalamazoo, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
New Way Counseling Center
(269) 552-9134
1128 South Westnedge Avenue
Kalamazoo, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Psychological Consultants of MI PC
(800) 261-8850
6376 Quail Run
Kalamazoo, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Sandra Fields Neal and Associates Inc
(269) 381-5213
535 South Burdick Street
Kalamazoo, MI
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, Gays and Lesbians, Pregnant/postpartum women, Women, Men, Criminal justice clients

Data Provided by:
Pine Rest Christian Mental Hlth Servs
(269) 343-6700
1530 Nichols Road
Kalamazoo, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Healing Center
(269) 343-1651
2615 Stadium Drive
Kalamazoo, MI
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Victory Clinical Services
(269) 344-4458
1020 South Westnedge Street
Kalamazoo, MI
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Child and Family
(269) 372-4140x304
5340 Holiday Terrace
Kalamazoo, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

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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