Consent: Rules about Obtaining Consent to Disclose Treatment Information Newburgh IN

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Deaconess Cross Pointe Center LLC
(812) 476-7200
7200 East Indiana Street
Evansville, IN
Hotline
(812) 476-7200
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient

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Southwest IN Mental Health Center Inc
(812) 476-5437
60 South Stockwell Road
Evansville, IN
Hotline
(812) 423-7791
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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Volunteers of America of Indiana Inc
(812) 423-1949
811 East Franklin Street
Evansville, IN
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

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Southwest IN Mental Health Center Inc
(812) 897-4776
315 South 3rd Street
Boonville, IN
Hotline
(812) 423-7791
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Counseling for Change Inc
(812) 491-2615
312 Martin Luther King Jr Boulevard
Evansville, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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PRISMS Inc
(812) 491-2519
428 South Kentucky Avenue
Evansville, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, DUI/DWI offenders

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Southwest IN Mental Health Center Inc
(812) 423-7791
415 Mulberry Street
Evansville, IN
Hotline
(812) 423-7791
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Amethyst Addiction Services
(812) 401-3415
501 John Street
Evansville, IN
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Women

Data Provided by:
New Visions Substance Abuse
(812) 422-6812
312 Martin Luther King Jr Boulevard
Evansville, IN
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
ADAPT Counseling Services
(812) 421-9900
715 North 1st Avenue
Evansville, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
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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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