Consent: Rules about Obtaining Consent to Disclose Treatment Information Niles IL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Behavioral Education and Treatment Inc
(630) 913-4801
6601 West Touhy Avenue
Niles, IL
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Lifeline Counseling Center Inc
(847) 626-5001
4948 Dempster Street
Skokie, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Polish, Russian

Data Provided by:
PEER Services Inc
(847) 657-7337
3633 West Lake Avenue
Glenview, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Seniors/older adults, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
PDSSC
(847) 729-9017
1877 Waukegan Road
Glenview, IL
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Language Services
Russian, Spanish

Data Provided by:
Alon Treatment Center
(847) 679-4026
9150 North Crawford Avenue
Skokie, IL
Hotline
(847) 679-4026
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Serenity Bridges LLC
(847) 470-1465
8700 Waukegan Road
Morton Grove, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, DUI/DWI offenders
Language Services
Tagalog

Data Provided by:
Behavior Services Center
(847) 673-8577
8707 Skokie Boulevard
Skokie, IL
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders
Language Services
Lithuanian, Polish, Russian, Spanish

Data Provided by:
Bilingual DUI Counseling and
(773) 725-8140
4001 West Devon Avenue
Chicago, IL
Hotline
(773) 725-8140
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Polish, Spanish

Data Provided by:
Counseling Center of Illinois
(773) 777-6767
4515 North Milwaukee Street
Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Polish, Russian, Serbian, Spanish

Data Provided by:
Advocate Addiction Treatment Program
(847) 795-3100
701 Lee Street
Des Plaines, IL
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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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