Consent: Rules about Obtaining Consent to Disclose Treatment Information Marion IA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Mercy Medical Center
(319) 398-6226
5975 Rockwell Drive NE
Cedar Rapids, IA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Cedar Valley Recovery Services
(319) 363-2678
120 3rd Avenue SW
Cedar Rapids, IA
Hotline
(319) 240-8911
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
West Des Moines Facility
(515) 280-3860
1211 Vine Street
West Des Moines, IA
Hotline
(515) 280-3860
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Gays and Lesbians, Women
Language Services
Spanish

Data Provided by:
Everest Institute
(515) 270-1344
2327 70th Street
Urbandale, IA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Community and Family Resources
(515) 602-6292
120 Central Avenue East
Clarion, IA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Saint Lukes Hospital
(319) 363-4429
1030 5th Avenue SE
Cedar Rapids, IA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Area Substance Abuse Council
(319) 390-4611
3601 16th Avenue SW
Cedar Rapids, IA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, German, Spanish

Data Provided by:
Capstone Behavioral Healthcare Inc
(641) 792-4012
306 North 3rd Avenue East
Newton, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
New Opportunities Substance Abuse
(712) 563-2777
413 Tracy Street
Audubon, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
New Opportunities Inc
(712) 792-1344
23751 Highway 30
Carroll, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

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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