Consent: Rules about Obtaining Consent to Disclose Treatment Information Madison WI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

New Start Program Meriter Hospital
(608) 417-8144
202 South Park Street
Madison, WI
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired

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Rebos Chris Farley House
(608) 255-5922
810 West Olin Avenue
Madison, WI
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Seniors/older adults, DUI/DWI offenders, Criminal justice clients

Data Provided by:
ARC Community Services Inc
(608) 283-6430
202 North Patterson Street
Madison, WI
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Criminal justice clients

Data Provided by:
Hope Haven Inc
(608) 251-8881
425 West Johnson Street
Madison, WI
Services Provided
Substance abuse treatment
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Seniors/older adults, DUI/DWI offenders, Criminal justice clients

Data Provided by:
ATTIC Correctional Services Inc
(608) 255-0307
1709 South Park Street
Madison, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Meriter New Start
(608) 267-6000x5339
202 South Park Street
Madison, WI
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Mental Health Center of Dane County
(608) 280-2520
625 West Washington Avenue
Madison, WI
Services Provided
Substance abuse treatment, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Hindi, Hmong, Spanish

Data Provided by:
Tellurian UCAN Inc
(608) 223-3311
2914 Industrial Drive
Madison, WI
Services Provided
Detoxification
Types of Care
Residential short-term treatment (30 days or less)
Special Programs/Groups
Persons with HIV/AIDS
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Quality Addiction Management
(608) 250-2512
902 Ann Street
Madison, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient

Data Provided by:
Connections Counseling
(608) 221-1500x11
1334 Applegate Road
Madison, WI
Services Provided
Substance abuse treatment, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, 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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